Apply to Become a Member

Memberships		Required Annual Contribution
V1	Businesses with sales of less than $2 million; individuals	$1,000
V2	Businesses with sales of $2 million to less than $10 million	$2,000
V3	Businesses with sales of $10 million to less than $30 million Financial Institutions with Allen County deposits of less than $125 million	$3,000
V4	Trade and Labor Unions and other associations	$3,000
V5	Businesses with sales of $30 million to less than $50 million All Utility Companies Financial Institutions with Allen County deposts of $125 million to less than $150 million	$5,000
V10	Businesses with sales of $50 million or more Financial Institutions with Allen County deposits of $150 million or more	$10,000

Yes, I / we wish to become a member(s) of Allen County Visionaries, Inc. to promote economic prosperity in our region, and agree to make the required annual contribution, as shown.
Please Check One:	V1V2V3V4V5V10
Annual Contribution:	$
Company
Name
Title
Address
City
State
Zip Code
Phone
Fax
Email
Web Address
Make check payable to Allen County Visionaries, Inc.; please send payment and application to: Allen County Visionaries, Inc. P.O. Box 176 Lima, Ohio 45802-9857
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