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Join YPC

Fill out the form below to become a member and get connected with other young professionals in the community today!

Member Application

Business Information

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Website:

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Comments / Questions:

Please indicate which YPC Committees that you may be interested in (Committees Include: Social, Professional Development, Impact Downtown, Volunteer, Civic, Marketing, Diversity & Culture, Athletics): *

Physical Address

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Mailing Address

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Primary Contact Information

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Last Name: *

Phone: *

Email: *

Contact Preference:

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Address

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Billing Contact Information

Same as Primary Contact

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Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

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Line 2

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Country: *

Membership Options

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2 Year Membership: $40.00
1 Year Membership: $25.00

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