Corporate Membership Application

Corporate Membership Application
You authorize that you are applying for Corporate Membership with the Georgia Notary Network, Inc. (GaNN) and authorize consideration by GaNN's Executive Board. If approved by the board, we authorize publication of our organization's name and designees to the organization's membership roster. In applying for corporate membership, you further agree to abide by the requirements of GaNN's membership and to pay the organization's standard Corporate Membership annual dues within the timeframe prescribed by GaNN.
Corporate or Business Information
Corporate Name*
Corporate Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website*
Phone Number*
Website*
Primary Corporate Designee
Name*
Title*
Birthday*
Preferred Phone Number*
Email Address *
example@example.com
Community Involvement*
Are you a past Georgia Notary Network Inc., (GaNN) member?*

YesNo
Please list any other corporations, associations, or businesses you are affiliated with.*
Alternate Corporate Designee

The corporation has the option of naming one alternate who would maintain representation of the Corporation at various organization functions and activities when the primary Designee is unable to particpate.
Name*
Job Title*
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com

My Products

Corporate MembershipAnnual Corporate Membership Fee

$350.00

Total

$0.00

Corporate or Business Information