Welcome to Lovelock/Greater Pershing Partnership

New Member Application Form

Contact Name :

Business/Organization Name:

Mailing Address :

Physical Address:

City :

State :

Zip :

Contact Phone :

Fax :

Email Address :

Web Address :

Membership Category:

Description:
(Please use this section to describe goods & services provided. This information will be used for referrals and directory classification)

Do you have brochures or promotional items for the Welcome Basket or to display in the Greater Pershing Partnership Office?

YESNO

Would you be interested in serving on a Greater Pershing Partnership work group?

YES NO

Are there any workshop or seminar topics you would be interested in?

YES NO

If yes, please list :

Membership in the Greater Pershing Partnership is open to firms, individuals, and associations of good standing, regardless of residence, interested in the enhancement and promotion of the Lovelock/Pershing County area.

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