TAGS
PO Box 6513 Springfield VA 22150
2010 Annual Membership Renewal
Name of Organization _______________________________
Street Address _______________________________
_________________________________________________
Contact Name _________________
Phone _________________
E-mail _________________
Number of Employees ______
TAGS Sponsor Annual Membership Contribution Levels-
Partner $ 10,000 includes free website advertising + interior bus ad
Hero 7,500 includes free website advertising + interior bus ad
Inspiration 5,000 includes free website advertising + interior bus ad
Contributor 2,500 includes free website advertising + interior bus ad
Supporter 1,200 includes free website advertising
Member Annual Membership Contribution levels–
Number of employees Dues
1-10 $ 100.00
11-20 $ 150.00
21-50 $ 200.00
51-100 $ 250.00
101-150 $ 375.00
151+ $ 500.00
Civic Association $ 50.00
HOA $ 75.00
Amount enclosed __________________
Mail this form with payment to TAGS at the above address
We thank you for your support!
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