EAC Application for Membership
APPLICATION FOR MEMBERSHIP IN THE EXECUTIVES ASSOCIATION OF CHARLOTTE
(Initiation fee of $500 and Quarterly dues of $375)

1. Information regarding Applicant for Membership:
Email address *
Name of Proposed Member: *
Full Company Legal Name: *
Complete Address (Post Office and Street, if applicable): *
Business Telephone Number: *
Business Website Address: *
Proposed Classification is: *
What percentage of Applicant’s business fits under the proposed Classification: *
Significant additional lines, if any, of Applicant’s Business (describe in detail) and give percentage[s]: *
Is Applicant’s Business primarily devoted to: *
If other, please describe:
Duration of Applicant’s Business (state how long Applicant has been in business in the Greater Charlotte Area): *
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