The Entrepreneurial Center
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Membership Form
    Membership Form

    In order to become a member of TEC this form must be completed. Once this form is completed your membership dues are required. The dues are $10 a month, paid quarterly. First payment of $30 for your 3 month membership.
      Male
      Female
    First Name:
    Last Name:
    Address Street 1:
    Address Street 2:
    City:
    Zip Code: (5 digits)
    State:
    Home Phone:
    Cell Phone:
    Email/User Name
    Password:  Must be between 6 to 9 letters only
    Re-Type Password:
    Current Occupation:
      College Graduate
      College Student
      High School Graduate
      High School Student
      High School Did not complete
      GED
      Junior High School
    Name of School
    Address
    Recommended by:
    Example:KISS FM
    Operation HOPE
    ASAP

    KINDLY SUBMIT THE FORM AND GO TO WWW.TECMEMBERS.COM FOR PAYMENT
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