Member Application

Member Application

All membership dues are for 2020 in membership. You will receive a request for membership renewal in 2021. If you have any questions or concerns, please feel free to reach out to Steven Falitico at sfalitico@geneseeny.com or 585-343-7440

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Mailing Address

Step 2:

Additional Info
Please add your company description.
Please select a directory category.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Please complete the Captcha
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