ivieapplication

Document Sample
ivieapplication Powered By Docstoc
					           Independent Visually Impaired Enterprisers
                   Membership Application
     Mail to IVIE Treasurer, 2201 Limerick Drive, Tallahassee, FL 32309

Name:

Business name (if any):

Business type (for website):
(what you do -not all business names are intuitive)



Address:

Business address (for website):

Home Phone:

Business phone (for website):

Email address:

If you do not wish your email address on the IVIE website check
here ____
(email addresses are inscripted so spammers cannot pull them
off the site)

Website(s) address:

Format for Braille Forum: Braille___, Cassette: ___, Large Print:
___, Email: ___, Disquette: ___

Do you offer discounts to other members, first time customers,
etc.? Explain

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:0
posted:11/4/2012
language:Unknown
pages:1