Mercury Business Association
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Membership
Mercury Club
Membership Form
Welcome to the first step towards becoming part of Mercury Business Club's esteemed network.
MEMBERSHIP FORM
Ready to elevate
your professional journey?
Let's get started.
Personal Information
Business Information
Goals & Objectives
References
Mercury Sponsor
Don Dietz
Jerome Berlinger CPA
Gerald S. Clay, Esq.
Sam Frentzel-Beyme
Kenny Goldblatt
Murray Hixson
Janet Kelley
Christopher S. Lennon RA
David C. Livingston
Darshaun Nadeau
Susan Nagi
Chad Okumura
Kimberly Oliveira
Marissa Steinfeld
To be reviewed, your application must include at least
two local references.
I certify the information on this application is correct to the best of my knowledge, and consent for members of the Mercury BusinessAssociation to contact any listed references and organizations to verify the information contained herein. If accepted, I agree to abideby the By-Laws and Constitution of the Mercury Business Association.
Your information is key completely confidential and will not be used for any other purpose than to determine Mercurby Business Association membership.
Thank you for applying to be a Mercury Member. Your Mercury sponsor will be in touch with you on next steps. Mahalo!
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