P.O. Box 497, Hillsboro, MO 63050
636-797-6325 Fax: 636-797-5059
www.jeffersoncountyonline.org
e-mail: join-n@sbcglobal.net
Year 2010
Organization/Business: ______________________________________________________________________
Contact Person: __________________________________________ Phone: _______________________
Address: ________________________________________________________________________________
Web Site:
____________________________________________ E-Mail:
__________________________
A link to your web site is included in your membership.
Two-sentence description of your business or
organization to be included on the
JOIN-N
Membership page:
_________________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Memberships run on the calendar year - January to December
___ Renewal ___ New Membership
___ $10.00 Individual Membership ___ $25.00 Small Business/Organization ___ $200.00 Corporate
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of JOIN-N, but please accept my donation to help provide
valuable information to Jefferson County
residents.