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Member ID
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First name
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Last name
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Business Name
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e-Mail
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Business Phone
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Cell Phone
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Your Mailing Address
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Referred By
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Tag Line
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Web Site
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Business Description
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Year Joined AWBO
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2019
2018
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2016
2015
2014
2013
2012
2011
2010
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2007
2006
2005
2004
2003
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Name Tag
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YES
NO
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Owner's Education
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is
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Owner's Affiliations
any of selected
all of selected
none of selected
Association for Women in Communication
Business Networking International (BNI)
Business and Professional Exchange
Gold Star Referral Club
Greater Lafayette Chamber of Commerce
Greater Lafayette Progress
Lafayette Business to Business
Lafayette Referral Network
Lafayette Urban Enterprise Association
Other Networking Group
Referral Source Network
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Hobbies and Interests
any of selected
all of selected
none of selected
Children/Grandchildren
Church
Cooking
Family
Gardening
Golf
Hiking
Public Speaking
Quilting
Reading
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What prompted you to apply/join?
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Your Title
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Your Business Address
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City
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Province/State
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Postal code
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Business Fax
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Year Business Began
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Number of Employees (including yourself)
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Key Words for Index
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Board position and year served
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is
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Text Message Consent
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Yes
No
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AWBO Member Code of Conduct
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Yes
No
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