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* 1. Company Information:

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* 2. Contact Information

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* 3. Which Category of Membership Would You Fall Within?

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* 4. What Prompted You To Write/Reach Out To Us?

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* 5. If you were referred to BC Tech, please tell us who referred you by including their name and company below:

Thank you for your interest in BC Tech. Many of our members in this category like to explore opportunities to partner to accelerate the success of our tech members - our VP Marketing will be in touch to discuss this with you.

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