Kern EDC Membership Pledge Card

(As you would like it listed in marketing collateral)
(To be listed in public Member Index)
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Company Secondary Contact *
* Active is for companies with fewer than 25 employees
Preferred Payment Schedule*
***If you select Semi-Annually or Quarterly, please request to be invoiced. First year of Membership must be paid in full then payments can be Semi-Annually or Quarterly.
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