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CEANS Membership Form

Complete form and mail with a check to:                                      

CREATIVE ECONOMY ASSOCIATION of the NORTH SHORE
121 Loring Avenue – Suite 200

Salem, Massachusetts 01970

Kindly indicate your preferred membership category:

____Business Member (1-2 employees) $ 50
____Business (3-10 employees) $100
____Business (over 10 employees) $250 
____Ask about our corporate Sponsorships
____Student Member  $ 15

(Pease print clearly)

First Name: ____________________Last Name: ___________________________

E-Mail Address: ______________________________________________________

Company Name: _____________________________________________________

Address: ___________________________________________________________

City: State: Zip: ________________________________

Telephone:__________________________Fax: _____________________________


____In addition to my membership, I’d like to be more involved in this exciting initiative! Please contact me about the various committee opportunities.

Information for the Member Directory:

Web Address: _____________________________________

Type of Business: _____________________________________________________________________ 
(Select up to 3):
Architecture, Arts, Catering/Event Planning, Consulting Services, Crafts, Design, Education, Film, Games, Health & Healing, Interior Design, Internet Services, Marketing/Advertising, Media, Museums, Music, New Media, Organizational Services, Performance, Photography/Videography, Professional Services for Creative Businesses, Publishing, Radio & TV, Software Development, Tourism, Web Design, Writer.

No. of Years in business on the North Shore: _____

No. of employees, partners, etc. ___________

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