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*Name:  Title: Company: *Phone:     Fax:     E-mail:   Address:  City: County: State:      Zip:   Who recommended CACP to you ?    Membership Categories Annual Dues: Basic Member - Includes membership certificate $150 Bronze Level Member-Includes membership certificate, 5% off Annual conference booth fee with recognition in conference brochure $300 Silver Level Member -Includes membership certificate, 10% off Annual conference booth fee with recognition in the conference brochure $500 Gold Level Member-Includes membership certificate, 25% off a booth at the Annual conference recognition in the conference brochure, sponsorship of one break at the conference, and one free set of mailing labels of the membership $750 Platinum Level Member -Includes membership certificate, free booth at the Annual conference with recognition in the conference brochure, sponsorship of one break at conference, and two free sets of mailing labels of membership during the year $1,000             * denotes required information