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Organization Name:
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Organization Type:
International
National
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Marketing Co-Ops
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Contact Name:
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Position/Title:
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Mailing Address:
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City:
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Prov/State:
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Country:
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Fax:
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Email Address:
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Confirm Email:
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Date of Elections/Change in Officers (month):
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If so, When and Where?:
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Does your Club/Asociation publish a newsletter?:
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Name of the Newsletter: