Association Group Profile
All information obtained is used to create a free, confidential, no obligation quote. The information you provide will be kept confidential. We will share it only with our PEO partners for the purpose of preparing price quotations. Organization Name Address    City   State   Zip Code   Phone Number   Fax Number   Principal Contact Person   E-mail Address  Web Site  Year Founded  State of Incorporation  Organization’s Purpose Number of Firms  Number Of Individuals  If firms are members:   Total number of employees in all member firms     or Estimated average number of employees per firm Where Are Your Members Located? International National Regional State Local   Average Annual Dues Per Member: None < $500 $500-$1,000 $1001-$4999 Over $5,000 Description Of Principal Business(es) Members Engage In Is any demographic information on members available?   Yes   No How do you communicate with your members? Paper Newsletter or Magazine Mail Electronic Newsletter or Magazine Email Blasts To All Members Website Other Date of next annual conference    (mm / dd / yyyy) Current Benefits Offered To Members Benefit Carrier Broker Renewal Date Life AD&D Health Dental Disability Other (specify)
Date: Completed by:   Name Title
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