2012 Membership Invoice
P.O. BOX 587
EVERETT, WA 98206
Voicemail: 425-320-1680
Email: info@hscouncil.org
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Instructions: Please mark the appropriate membership for your agency. Remit fee accordingly.
QUANTITY | DESCRIPTION | UNIT PRICE | AMOUNT |
| 2012 MEMBERSHIP FEE January 1, 2012 through December 31, 2012 |
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_______ | SMALL ORGANIZATION (1-25) employees
| $ 100.00 | _________ |
_______ | MEDIUM ORGANIZATION (26 – 50) employees | 150.00 | _________ |
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| LARGE ORGANIZATION | 200.00 | _________ |
| (51+) employees |
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_______ | INDIVIDUAL | 45.00 | _________ |
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_______ | STUDENT/SENIOR CITIZEN (60+) | 35.00 | _________ |
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| Make check payable to: Human Services Council | TOTAL |
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Since we use an email communication system, please submit names and e-mail addresses of agency members who want to be on our email list and are not already receiving our announcements.
1.___________________________________________________________________________
2.___________________________________________________________________________
3.___________________________________________________________________________
4.___________________________________________________________________________
The Human Services Council of Snohomish County is a 501(c)(3) organization under the Internal Revenue Code. EIN 91 1241789