Iowa National Guard Associations

1. Iowa National GuardAssociations BUSINESS MEMBERSHIP APPLICATION May 01, 2012 – April 30, 2013 Corporation Name _____________________________________________________ Mailing Address: _______________________________________________________ ______________________________________________________________________ Point of Contact: ______________________________ Telephone: ____________________________________ EMAIL: ______________________________________ Selection Membership Level Membership Fees BRONZE $250 SILVER $500 GOLD $1,000 PLATINUM $1,500 Diamond $2,500 I hereby apply for membership/renewal in the Iowa National Guard Officers and Enlisted Association (INGOA/EANGI) and enclose a check (made out to “INGOA”) or paid / will pay via PayPal for my corporate membership. _______________________ __________ Authorized Signature Date SUBMIT APPLICATION WITH PAYMENT TO: INGOA, P.O. BOX 194, JOHNSTON, IOWA 50131-1902 or E-MAIL to : ingoa-corpmemb@iowaofficers.org Payment through PAYPAL at: http://www.iowaofficers.org/Corporate_members.htm Questions: Contact Jennifer Pote, Ph: 515-229-5481 or E-Mail at the email address above