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SIGN UP FOR THE
MEE COMMUNITY NETWORK!
 
Please contact me about becoming a member of MEE's Community Network
   

Please verify your contact information below and submit this form or print and fax it to (215)829-4903.

Community Network Members MUST be associated with a non-profit organization (i.e. Community-Based Organization). Exceptions may be granted upon MEE's approval.

Fields marked with * are required
Organization*:
Job Title*:
Title:
First Name*: Last Name*:
Address line 1*:
Address line 2:
Suite City*:
State*: Zip Code*:
Phone: Fax:
E-mail (required for access to member only pages)*:
Enter a password (for access to member only pages)*:
Company Web Site:

Have You had any Past Interaction with MEE Productions?:
Bought Video or Report
Attended Workshop
Subscribe toUrbantrends Newsletter
Other

Have you participated in past MEE Campaigns:
HIV / AIDS
Emergency Contraception
Subscribe to Voter Education
Entertainment Promotion
Other

Brief one or two sentence description of what your organization does:



Please allow up to 72 hours for your membership to be processed and activated. You will receive an email notification upon the approval of your membership request.
   
For more information on the MEE Community Network, send an e-mail to: communitynetwork@meeproductions.com



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