85.6° F   57% CLEAR PSEDC PO Box 3205 Palm Springs, CA 92263 Phone: (760) 325-1625 Fax: (760) 325-6117 PSEDC - Membership Application Please fill the following form completely to submit your membership application to PSEDC.   Sponsorship Information Date Sponsored by   Applicant Information Name of Applicant *   Business Information Business Name * Business Address * Business Phone * Business Fax Email Address * Business Website Address   Other Information Number of Years in Business Locally     Number of Employees/Associates         Type of Business *   Membership Dues Level (Please choose one) * Corporate - $5,000 Supporting - $1,000 Sustaining - $2,500 Contributing - $500 Member - $250   Special Interest and/or Business Expertise   Thank You for your interest in PSEDC, your application will be submitted to the Board of Directors for consideration   You may submit your Application For Membership By Email or Mail To : Post Office Box 3205 Palm Springs CA 92263 Phone 760-325-1625 Fax. 760-325-6117

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