Join FEDC - Fostoria Economic Development, Fostoria, Ohio

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(** Required information)

**Last Name:
**First Name:
**Nickname:	(Used for name tags at conferences)
Title:
Company/ Organization:
**Address 1/ P.O. Box:
Address 2:
**City:
**State:
**ZIP/Postal Code:	Example: 45840
**County:	Example: Hancock
**Business Phone:	Example: 999-555-1234
Business Fax:	Example: 999-555-1234
**E-mail:	Example: username@example.com
**Administrative E-mail:	Enter the email address of someone who can log in on your behalf and manage your membership for you. Example: adminusername@example.com

**Primary Professional Category:	Your primary category will be used for the hard-copy NCEDA directory. If other, please specify:

**Additional Professional Category:	Your primary category will be used for the hard-copy NCEDA directory. If other, please specify:

**State of Legal Residence:	Example: Ohio
Sponsored by Company:	Example: ABC Company, Inc.

Fostoria Economic Development Corporation
121 N. Main Street
Fostoria, Ohio 44830
419.435.7789
fax: 419.435.0936
Email: FEDC@FostoriaED.org