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Commercial Membership Application Form

Initial registration fee: $2,500.00 (US funds)
Annual Membership dues: $1,000.00 (US funds)
Total Dues: $3,500.00 (US funds)
Mail your check, payable to MUSE. Please note that membership is not automatic.
A committee of the MUSE Board will review this application.

Company Name:    Website:
  
Parent Company: (if applicable)
Primary Contact:    Title:
  
Address:
City:
State/Province
Country
Zip/Postal Code:
Phone:    Fax:
  
Email:

Please list those MUSE member facilities that are current clients of your company:

Please name a current MUSE Facility member that would recommend your membership to MUSE:

Please give a detailed description of your business:
Please indicate how your products and/or services will add value to the
MUSE organization:
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