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Let’s talk about a partnership!


You’ve learned a lot about us. Now, we would like to learn about you! Please complete this form and submit it to Lynda J. Patterson, FASAE, CAE. This information will help us know if your association and AMPED would make good partners.

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Please tell us about the association.


Please enter your Association Name

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Please tell us how to contact you.


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Please enter your contact phone number

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Please answer these 10 questions about your association.

What is the geographic scope of your association?

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What is the primary industry or profession served by your association?

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What is the primary type of membership in your association?

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Number of current members in your association:

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Total number of chapters in your association:

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Total number of sections in your association:

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What is the association’s approximate annual operating budget?

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What is the IRS tax status of your association?

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If other, please describe:

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How is your association currently being managed?

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Why are you considering new management?

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Briefly describe your association’s primary needs or concerns.

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