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* Mandatory fields
*Company Name (DBA Name)
This is the name that your business is known by. It may be different from your legal company name.
*First Name (Contact person)
First name of the main contact person for the company.
*Last Name (Contact person)
Last name of the main contact person for the company.
*eMail
Used for all electronic communication from MLOOA, including membership renewal reminders, email announcements, event notifications, and so on.
*Primary Phone
 
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