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Download - 2017 Allied Partnership Registration Formc.ymcdn.com/.../resmgr/docs/2017_Allied_Partnership_Regi.pdf2017 Allied Partnership Registration Form Partnership Level: q Essential - $300

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Page 1: 2017 Allied Partnership Registration Formc.ymcdn.com/.../resmgr/docs/2017_Allied_Partnership_Regi.pdf2017 Allied Partnership Registration Form Partnership Level: q Essential - $300

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.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

MainContactInformation:

CompanyName___________________________________________________________________________________________________________ContactName__________________________________________________________Title_____________________________________________Street______________________________________________________________________________________________________________________City_____________________________________________________State_____________________________________Zip_____________________Phone___________________________________________________Fax_______________________________________________________________Email______________________________________________________________________________________________________________________

Page 2: 2017 Allied Partnership Registration Formc.ymcdn.com/.../resmgr/docs/2017_Allied_Partnership_Regi.pdf2017 Allied Partnership Registration Form Partnership Level: q Essential - $300

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____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


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