Corporate Membership Interest Form

Company Name
Company Address
City
State
Zip Code
How many total employees does your company have?
Is your company interested in contributing financially to a Y membership benefit?
Is this benefit for the employee only or the entire household?
Who is the decision maker at your organization that can help us design this benefit?
Would you be interested in the Y hosting a health fair for your employees, potentially including various health screenings?
Contact Name
Contact Email
Contact Phone
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