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<br />ECONOMIC DEVELOPMENT ASSOCIATION OF MINNESOTA <br /> <br />ACCOUNT 10: <br />203 <br /> <br />MEMBERSHIP RENEWAL INVOICE <br /> <br />***Please update if there are any changes in contact information!*** <br /> <br />****MEMBERSHIP EXPIRES - 12/31/2009*** <br /> <br />Contact Name: <br />Title: <br />Company: <br />Work Address: <br /> <br />City, State ZIP. <br />E-mail: <br />Work Phone: <br />Work Fax: <br />. Website: <br /> <br />Mr Sean M Sullivan <br />Economic Development Coordinator <br />City of Ramsey <br />7550 Sunwood Dr NW <br /> <br />Ramsey, MN 55303 <br />ssullivan@ci.ramsey.mn.us <br />7634339829 <br />7634275543 <br />www.cLramsey.mn.us <br /> <br />Select Dues Type: <br />o 1 Member <br />o 2 Members (2 from same firm) <br />o 3 Members (3 from same firm) <br />o Bronze Medalist (Limit: 5 individuals) <br />o Silver Medalist (Limit: 10 individuals) <br />o Gold Medalist (Limit: 15 individuals) <br /> <br />AMOUNT ENCL. <br /> <br />$220 <br />$365 <br />$510 <br />$745 <br />$1,200 <br />$2,250 <br /> <br />TOTAL AMOUNT ENCLOSED <br /> <br />Dues payable to EDAM are not deductible as a charitable contribution but may be deductible as an ordinary and necessary <br />business expense. A portion of dues, however, is not deductible as an ordinary and necessary business expense to the <br />extent that EDAM engages in lobbying. The non-deductible portion of dues for fiscal year 2010 is 30%. No percentage of any <br />contribution to legislative expenses is deductible. We suggest you consult your tax advisor concerning this information. <br /> <br />Ch~ck is enclosed. <br /> <br />_ Please charge my _ VISA or _ MasterCard. <br /> <br />Card No. <br /> Exp. I I 3 Digit (Required) <br />Signature Name on Card Cardholder Phone <br /> <br />Please complete the back of this form and return with your dues payment to: <br /> <br />EDAM <br />1000 Westgate Drive, Suite 252 <br />St. Paul, MN 55114 <br /> <br />Web: www.edam.org <br /> <br />Fax: (651) 290-2266 <br />(For office use only) . <br />initials fin. <br />date <br />CKlCC <br />amt. paid <br />baJ.due <br /> <br />Phone: (651) 290-6296 <br /> <br />