TAC: Corporate Opportunities-Associate Membership

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Becoming a TAC Associate

Please fill out this application form if you are interested in the TAC Associate Program. Fields shaded in yellow are required.

Company Information
Company Name:
Company Website Address:
Contact Name:
Contact Title:
E-mail Address:
Telephone Number:	(999-999-9999)
Fax Number:	(999-999-9999)
Street Address:
City:
State:
Zip Code:
Brief description of product or service:
Applicant's authorizing person's name:
Applicant's authorizing person's title:
How I learned about this program:
Reason for wanting to become an Associate:

Please provide three business references.

Business Reference Information
Company:
Contact:
Phone Number:	(999-999-9999)
Company:
Contact:
Phone Number:	(999-999-9999)
Company:
Contact:
Phone Number:	(999-999-9999)

While associate status does not constitute a TAC endorsement, it does serve as an acknowledgement of an associate's support of county government. Applications are subject to evaluation and renewal. TAC reserves sole authority to grant, cancel, or deny associate status.