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Membership Confirmation Form

We invite you to become a Recruiter Network Member and complete a short survey. 

Thank you for your interest in the North Dakota Recruiter Network.
You will be contacted upon completion of your application.
Your membership will not be activated until your membership cost of $500 has been collected. You will receive an invoice for this amount.

For specific questions or comments regarding the confirmation of your membership, contact Jennifer Dahl at 701.328.7268.
Recruiter Network Membership Confirmation
You are invited to participate in this network whose goals are to share best practices, help recruit/retain workforce to North Dakota, and provide a support network of HR/recruiting professionals. Please complete the information below.
* Name of Company 
Address
City
State (text box)
Zip Code
* Company Website Address 
Company Facebook Address Link
Company Twitter Link Address
Company LinkedIn Address Link
* Primary Contact for Membership Full Name 
* Primary Contact for Membership's Email 
* Primary Contact for Membership's Phone 


Second Contact for Membership
Additional Contact Name
Additional Contact Email
Additional Contact Phone


Additional Contact for Membership
Additional Contact Name
Additional Contact Email
Additional Contact Phone
* Aside from those listed, do you have any additional contacts to be included with your membership
 
* Spam Check
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