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Thank you for becoming a Maine Businesses for Sustainability member! Please answer all the required fields. Once you've registered, you will receive an email regarding payment. Please remember to select which type of membership you wish to register for, Affiliate Member ($150) or Sustainability Assessment Member ($1,500). As always, please email us at info@MaineBusinessesforSustainability.org, or call 338.8908 with any questions. Thank you!

Company Information

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Address 2:

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Phone: *

Fax Number:

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Web Site:

Business Type:

Business Description:

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Secondary Contacts:

Socially Responsible Practices:

Please describe the socially responsible practices of this company.

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Membership Information

Import Membership Type:

Membership Type: - None -Affiliate MembershipSustainability Assessment MembershipSustainable Business Collaborative

Member Status:

Membership Start:

Format: July 31, 2010

Membership Expires:

Format: Jul 31 2010

Member Since:

Personal Information

First Name: *

Last Name: *

Networking Group Leader ( only applies to Affiliate Members )

This person is the primary contact

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