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Sou rcewell <br />Formerly NJPA <br />Non -Profit (Please include documentation demonstrating non-profit status) <br />o Church <br />o Fraternal <br />o Other <br />REFERRED BY <br />o Advertisement <br />o Colleague/Friend <br />o Vendor representative _ <br />o Conference/Trade show_ <br />o Sourcewell website <br />o Other <br />RETURN COMPLETED AGREEMENT TO: <br />Sourcewell <br />202 12th Street NE <br />P.O. Box 219 <br />Staples, MN 56479 <br />877-585-9706 Membership@sourcewell-mn.gov <br />*Denotes required information <br />202 12th Street NE I PO. Box 219 ( Staples, MN 56479 888-894-1.930 I www.souurtningoy <br />