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MSBR Membership Form
View Our Current Corporate Members
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–
Step
1
of 3
Company Information
Company Name or Individual Member Name
*
Address
*
Address Line 1
Address Line 2
City
— Select state —
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District of Columbia
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State
Zip Code
Company Website / URL
Membership Type
*
Corporate (Over $50M in Revenue and Fees) – $1,500/yr
Corporate ($10-$50M in Revenue and Fees) – $1,000/yr
Corporate (Up to $10M in Revenue and Fees) – $600/yr
Individual – $175/yr
Method of Payment
*
Invoice for Credit Card
Invoice for Check
ACH
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Corporate POC Information
Executive POC Name
*
First
Last
Executive POC Phone Number
*
Executive POC Email
*
Email
Confirm Email
Administrative POC Name
First
Last
Administrative POC Phone Number
Administrative POC Email
Number of Employees that Support Aerospace
Number of Maryland Employees
Number of Washington DC Metro Employees
Next
Member 1 Name
First
Last
Member 1 Email
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Member 2 Name
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Last
Member 2 Email
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Member 3 Name
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Last
Member 3 Email
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Member 4 Name
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Last
Member 4 Email
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Member 5 Name
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Last
Member 5 Email
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