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Team With The Winners - Join MEEC today!
The business organization for certified minority suppliers that provide
the following services:
◘Information Technology ◘Telecommunications ◘Manufacturing ◘Finance ◘Construction ◘Utilities
◘Healthcare ◘Education ◘Transportation ◘Electronics
MEMBERSHIP APPLICATION
Name: _______________________________________________ Title: ______________________
Business Name: __________________________________________________________________
Address: _________________________________________________________________________
City: ____________________________________________ State:_________ Zip: ______________
Today’s Date: ____/____/____ Ph(_____)___________________ Fax: (____)________________
Type of Business: ___________________________________________________________________
Years In Business: _________ D & B #: _________________________________________________
MBE Certification: _________________________________________________________________
Client Listing: _____________________________________________________________________
__________________________________________________________________________________
E-Mail Address: __________________________________________________________________
Website Address: ___________________________________________________________________
Select Appropriate MEEC annual membership:
□ Small/Med. Business $500
□ Major Corporations/Government $1000
□ American Express □ MasterCard □ VISA
Credit Card #______________________________________________________________
Exp Date: ____/____ Signature: ___________________________________________
Please enclose check with completed form and mail to:
MEEC, P.O. Box 5199, Woodbridge, Virginia 22194
For more information call (703) 730-4091 (703) 730-4092 fax
vpwilliams@comcast.net www.meecouncil.com
“Building Relationships in Both Public and Private Sectors”
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