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NORTH TULSA ECONOMIC DEVELOPMENT INITIATIVE (NTEDi) Membership Form
Todays Date:
*
+
Name
*
Email Address
*
Phone
*
Best Time to Contact
*
Morning
Afternoon
Evening
Street
*
City
*
State
*
Zip
*
Classification / Employment
*
Choice A Resident
Choice B Entrepreneur
Choice C Stakeholder
Choice D Employer
Other (Please List)
Other (Please List)
Are you a current NTEDi Member?
*
Yes
No
Annual Membership Dues:
*
Choice A Individual $50
Choice B Small Business $125
Choice C Non-Profit $175
Choice D Large Business/Organization $500
Remit Membership Dues
(If they have not been paid):
NTEDi P.O. Box 6201 Tulsa OK 74148; or make your payment online at
NTEDi Membership Dues
Have you previously done volunteer
work for this organization?
*
Yes
No
Where did you hear about us?
*
Email
Flyer or posting
Friend or family
Facebook
Website advertisement
Community Event
Other
Other
What days of the week are you
consistently available?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What areas of work would you be interested in serving in?
(check all that apply)
*
Fund Raising
Community Service
Training
Education
Marketing
Housing
Workforce
Economic Development / Business
Support
Comments/Additional Information: