| CPA Membership Form |
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[Click Print Icon at Right for Printable Version] 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 |

CPA Membership