CPA Membership Form

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Dues are based upon your ability and willingness to support CPA activities. You decide your dues

level. CPA becomes stronger with more member businesses, organizations and individuals. We also

become stronger with the ability to reach more voters, so they can cast more intelligent votes on

trade issues. We will use your dues contribution wisely.  (See the dues page ).

 

Member Name:                                                                                           


 

Address 1:


 

Address 2:


 

City:                                                                                State:                                Zip:


 

Phone:                                                 Fax:                                               Web:



Contact person:                                                                                           Contact email:


 

 

Number of members/employees, if applicable:

 


 

Send to: Coalition for a Prosperous America
             615 Boardman Street
             Sheffield, MA 01275

             f: 413.854.2579
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