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Board Director Application
To be considered for membership in the Myerstown Vitality Partnership Board of Directors, please fill out the form below. The Board of Directors will review your application and you will be contacted with a decision.
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* Indicates required question
Name
*
First and last name
Your answer
Business/Entity Name (for those applying as a representative of a business/entity)
Your answer
Address (business address for applicants applying as a business/entity representative)
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Fax number
Your answer
Website (for those applying as a representative of a business/entity)
Your answer
Is your business/entity on Facebook?
Yes
No
Clear selection
Is your business/entity on Instagram?
Yes
No
Clear selection
Are you able to commit to a 3 year term?
*
Yes
No
Maybe
Are you able and willing to make an annual contribution to MVP?
*
Yes (if yes, please indicate anticipated annual contribution:________________________)
No
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