La Paz

Ph: 423.624.8414

La Paz Chattanooga
1918 Union Avenue
Chattanooga, TN 37404

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Membership Application

Name

Organization

Address

City

State

ZIP

Phone

Fax

Email

Web Site

Type of Membership

Business/Organization with budget at least $1,000,000 (Fee: $125)

Business/Organization with budget less than $1,000,000 (Fee: $65)

Church/Congregation (Fee: $50)

Individual (Fee: $25)

Customer/Client (Fee: $0)

Are you willing to serve on a committee? If so, check below:

Resource Development

Research and Evaluation

Education and Training

Finance and Personnel

Nominating

Planning

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