DYP Membership Application

DYP Membership Application
WHAT DOES A MEMBERSHIP INCLUDE?
- Professional development opportunities
- Expand your social networking by interacting with a variety of community members
- Gain personal and professional awareness
- Opportunities for greater community involvement
- Complementary headshots at the Annual Dinner
- Discounted admission to monthly luncheons and Annual Dinner
Please select the circle below to indicate that you are purchasing a yearly membership. A yearly membership is from January 1st to December 31st.
Dyersville YP Membership Fee -- VIA Check ($45.00 for each year.) Dyersville YP Membership Fee -- VIA PayPal ($45.00 for each year.) Send me the PayPal link.
If you choose to pay via check, please send the check with the above amount to the following address:

Dyersville Young Professionals

P.O. BOX 231

Dyersville, IA 52040
NAME *

First Name Last Name
COMPANY *
JOB TITLE *
BILLING ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
PHONE NUMBER

Area Code Phone Number
PERSONAL EMAIL *
WORK EMAIL
BIRTHDAY

Month Day Year
REFERRED BY?
SEND ME MORE INFORMATION ON JOINING THE COMMITTEE *

YES PLEASE! NO THANKS!
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