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Yearly Member Contact Form
Please carefully complete this form as soon as possible to ensure you are receiving all communications from UDMA.
7
Questions
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1
What is the name of your company?
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2
Who is the person from {whatIs} responsible for voting on UDMA matters?
First Name
Last Name
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3
What is the email address for {whatIs3}?
example@example.com
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4
Is {whatIs} also responsible for making membership fee and booth payments to UDMA?
YES
NO
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5
Who is the person from {whatIs} responsible for making fee membership and booth payments to UDMA?
First Name
Last Name
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6
What is the email address for {whoIs5}?
example@example.com
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7
Please add the name and email address for any other employees who should receive non-billing and non-voting UDMA emails.
First Name
Last Name
Email Address
Employee #1
Employee #2
Employee #3
Employee #4
Employee #1
Employee #2
Employee #3
Employee #4
First Name
Last Name
Email Address
First Name
Last Name
Email Address
First Name
Last Name
Email Address
First Name
Last Name
Email Address
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