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Municipal Membership Form

Use this form to submit for Municipal Membership. Municipal memberships are $150 and include one person. You can add up to five additional people at $35 each. A seperate payment link will be sent to you to process payment.

First name *

Last name *

Address type

Address line 1 *

Address line 2

Address line 3

City *

State/Province

Zip code *

Country *

Email Type *

Email *

Phone type

Phone country code *

Phone area code *

Phone number *

Municipality/Government Name *

Industry

Municipal Members

City Population

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Address

PO Box 13242

Des Moines, Iowa 50310

United States

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Municipal Membership Form

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