Date:
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| First Name: * |
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| Last Name: * |
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| Municipality/Organization: * |
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| Title: * |
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| Email: * |
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| Address 1: * |
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| Address 2: |
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| City: * |
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| State: |
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| Zip: * |
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| Phone: * |
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| Fax: * |
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Publication Fees:
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Municipal Officials Directory Member ($25)
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Salary Survey Non-member ($95)
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Municipal Officials Directory Non-member ($60)
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Touchstone (no charge)
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Municipal Officials Directory Gov't/Non-profit ($40)
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Salary Survey Member ($40)
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