Membership Requirements
The undersigned hereby makes application for membership in the Regional Technology Organization (RTO). It is understood by the firm or individual that this application is subject to the approval of the RTO Board of Directors. The applicant and the Regional Technology Organization agree that this membership will remain in force until the firm or individual submits awritten resignation or until the membership is revoked by the RTO Board of Directors.

Business Name		Application Date
Business Address
City		State	Zip
Contact Person
Phone		Fax
Email
Founded Date		TTL Employees
Personnel Person		SIC Code
Dues Amount	Local Chamber of Commerce Membership: $100.00   Non-Chamber of Commerce Membership: $200.00   Student Membership: $50.00	Payment Option	Annual Semi-annual Quarterly
Business   Description		Business Type	Retail Business to Business Hardware Software Website Design Networking Internet Connectivity Telecommunications Training
Owner Name