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Applicant Information

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Organization Name:

Mailing Address: *

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Phone: *   Fax:

E-mail: *   Website:

Select the Category that best describes your type of business:

Year Utah Operations Began:   Number of Employees in Utah: *

Geographic Markets (check all that apply): Regional National International

Ownership: Public Private Partnership Non-profit

Gross Revenue (optional):
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Contacts

Person Who will be Primary Contact with UTC: *

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  Job Title       |    Prefix   |    Name                                 |    E-mail address

Reasons for Joining UTC (check all that apply):

Events P2P Forums Public Policy Access to Industry Portal Marketing Opportunities	Web Site Build Community CEO Roundtables Benefits/Cost Savings Programs Networking Opportunities
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Annual Dues

Click here for membership type and pricing information.

Choose your membership type and pricing according to number of employees:

Technology 1-5 emp - $250 6-15 emp - $500 16-24 emp - $650 25-49 emp - $900 50-99 emp - $1500 100-199 emp - $2300 200-499 emp - $3500 500-2,499 emp - $5000 2,500+ emp - $7000 Associate 1-15 emp - $1000 16-99 emp - $1500 100-249 emp - $2000 250-999 emp - $3000 1,000-2,499 emp - $4000 2,500+ emp - $5000 Affiliate $1,000 annually

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