2017 allied partnership registration form - … allied partnership registration form ... q book...
TRANSCRIPT
2017AlliedPartnershipRegistrationForm
PartnershipLevel:
q Essential-$300 q Showcase-$550 q Silver-$800 q Gold-$1,750 q Platinum-$3,500 q Diamond-$5,000
DirectoryInformation:CompletethefollowinginformationexactlyasyouwouldlikeittoappearintheBuyer’sGuide.
CompanyName___________________________________________________________________________________________________________ContactName__________________________________________________________Title_____________________________________________Street______________________________________________________________________________________________________________________City_____________________________________________________State_____________________________________Zip_____________________Phone___________________________________________________Fax_______________________________________________________________Email______________________________________________________________________________________________________________________Website____________________________________________________________________________________________________________________
Mailing&BillingInformation:Ifyouwouldlikeallcorrespondencetobesenttoanaddressdifferentfromthedirectoryaddressabove,pleaseindicatehere.Thisaddresswillnotappearinthedirectory.
CompanyName___________________________________________________________________________________________________________ContactName__________________________________________________________Title_____________________________________________Street______________________________________________________________________________________________________________________City_____________________________________________________State_____________________________________Zip_____________________Phone___________________________________________________Fax_______________________________________________________________Email______________________________________________________________________________________________________________________
CompanyDescription:ThisdescriptionwillbelistedintheBuyer’sGuide.Nomorethan30words.
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MainContactInformation:
CompanyName___________________________________________________________________________________________________________ContactName__________________________________________________________Title_____________________________________________Street______________________________________________________________________________________________________________________City_____________________________________________________State_____________________________________Zip_____________________Phone___________________________________________________Fax_______________________________________________________________Email______________________________________________________________________________________________________________________
MethodofPayment:q SendanInvoiceq CheckEnclosed(MakeChecksPayabletoWLRA)q Visa q MasterCard q AmericanExpress q DiscoverCreditCardNumber______________________________________________________________ExpirationDate______________________Signature____________________________________________________________________________________________________________________Email(forelectronicreceipt)_____________________________________________________________________________________________ContributionsorgiftstotheWyomingLodging&RestaurantAssociation(WLRA)arenottaxdeductibleascharitablecontributionsforincometaxpurposes.However,theymaybedeductibleasordinaryandnecessarybusinessexpensessubjecttorestrictionsimposedasaresultofassociationlobbyingactivities.WLRAestimatesthatthenondeductibleportionofyourdues(theportionwhichisallocatedtolobbying)is15%.
Buyer’sGuideCategory:Pleasecheckthefollowingcategoriesthatapplytoyourbusiness.
q Accounting&BookkeepingServicesq Advertising:Publications&Promotional
Servicesq Attorneysq Banks&FinancialServicesq Beverages:Alcoholicq Beverages:Non-Alcoholicq BookDirectSearchEngineSoftwareq CreditCardServicesq CommunicationProviderq Consultingq Concessionaireq DataResearchq Education&Trainingq EmailMarketingq EmploymentServicesq Equipment&Supplies
q FireSuppressionSystemsq FoodProducts:Brokers&Distributorsq HumanResources&Payrollq Insuranceq Laundry&Linen:Service&Equipmentq MattressSupplierq Meat:Beefq MusicLicensingq OfficeSuppliesq OnlineTravelCompanyq Other:________________________________________________q PointofSaleSystemsq ProfessionalPhotographyq RetailSalesq Meetings&Eventsq Transportation&CarRentals
Pleasereturnto:WyomingLodgingandRestaurantAssociation
POBox1003,CheyenneWY82003Fax:307-632-0249Email:[email protected]
AdditionalContacts:Pleaselistanyoneonyourstaffthatyouwouldliketoreceiveourcommunications.Name Title Phone Email____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________