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2017 Member-to-Member Discounts Form

YES, I would like to offer fellow members a discount on goods or services.

*Business Name:

*Contact Person:

*Contact E-mail:

*Street Address:

*City: *State: *Zip:

*Telephone: *Fax:

*Discount Offering for 2017:

All discounts expire Dec. 31, 2017, unless otherwise specified.

*Did you offer a discount in the 2016 Member-to-Member Discounts brochure?

*If yes, did you receive any response?