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DUES SCHEDULE
INDUSTRY MEMBERS -
Total Employees	Dues
1-10	$225
11-100	$400
101+	$1000
Educational Institutions/ Economic Development Organizations	$400
AFFILIATE MEMBERS -
Total Employees	Dues
1-10	$300
11-100	$1000
101+	$1500
SPONSOR MEMBERS -	$4000
STAFFING COMPANIES -	$2000 + Affiliate Membership fee

Fill in this application and submit it, then mail a check to the address below,
OR print and fill-in the application, and mail together with a check to the address below,
OR fax the filled-in application and credit card form to (631) 224-4242.

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LISTnet
Peter Goldsmith
734 Walt Whitman Road
Suite 402
Melville, NY 11747

Please note this is a contract for membership in LISTnet. If you need more information on joining before submitting this form, please contact LISTnet at (631) 224-4400.

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