REGIONAL ECONOMIC DEVELOPMENT STRATEGY REPORTS

SERVICES PROGRAMS EVENTS

connecting communities & business TO RESOURCES SINCE 1968

CEDA Membership Application

Please complete the following membership form below:

We will follow up with payment information or you can send payment to the following location:

CEDA

1626 6th Ave. N.

Lewiston, ID 83501

For questions, please contact CEDA at:

Step 1 of 3

Organization Information:
Date:
MM slash DD slash YYYY
Organization Name:
Employer Size:
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:
Fax:
Website:

Representative Contact Information:
Representative Contact Information:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Title:
If the representative prefers correspondence to be sent to a different address than what is listed under “member organization”, please fill in information below:
Phone:
Fax:
Email:

Alternate Representative Contact Information:
Representative Name:
First Last
Title:
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:
Fax:
Email:

© 2020 Clearwater Economic Development Association – All rights reserved

REGIONAL ECONOMIC DEVELOPMENT STRATEGY REPORTS

SERVICES PROGRAMS EVENTS