Become a Member

Membership Application

Twelve-Month Membership effective upon Receipt of Payment

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Name
First Last
Mobile #
Office #
Fax #
Certification/Registration
SP#
Licensed in:
- HPC
- WDO
- HBR
- CAT
- Out of State LIC
List States(Required)
List Category Numbers
Company Name
Are you a Veteran?
- Yes
- No
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Signature
Date of Application
MM slash DD slash YYYY
Membership Levels
Individual Member - 1 License Holder Quantity
Price: $60.00
SP#
Personal Email
Corporate I Member - 2 License Holders Quantity
Price: $150.00
Corporate II Member - 3-5 License Holders* Quantity
Price: $200.00
Corporate III Member - 6-10 License Holders* Quantity
Price: $275.00
Corporate IV Member - 11+ License Holders* Quantity
Price: $525.00
Allied Member Partner Quantity
Price: $200.00
Annual Fee - Benefits include a reduced fee for advertising on the website, company logo listing on CPCO's website with link to the company's website, ability to serve on committees and authorization to use the CPCO logo. This Membership level is for Advertisers, Distributors, Manufacturers, Service Suppliers, Vendors, etc.
Website Link (Allied Partner Only)
Submit a high resolution logo (Allied Partner)
Max. file size: 64 MB.

(Vector files preferred)
List email(s) below to be in the Pest Pulse E-Newsletter and TidBits distribution list.
* For dues: Categories Corporate II, III and IV companies of this size are allowed 2 mailings which can include a second branch or 2 designated mailings located within the same branch. (Note: You do not have to designate a separate branch or mailing.) These categories are also allowed 2 votes when needed for CPCO business. Call CPCO to discuss "Bundling."
Total
$0.00
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Become a Member

Membership Application

Twelve-Month Membership effective upon Receipt of Payment

Certification/Registration

Membership Levels

770.338.1050

Connie@CPCOofGA.com

CPCOofGA