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enter valid credit card information State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information Mailing Address (if different) Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information City Required Please enter a valid number Please enter a valid date Please enter valid credit card information State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI 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Membership Investment Membership Type Select one... Discover - $456 Empower - $1,100 Propel - $2,750 Magnify - $5,500 Amplify - $11,000 Add RGA Primary Directory Category None Accountants/Certified Public Accounting AchieveHERs Acupuncture Adjuster Adjuster - Public Insurance Adjuster/Loss Consultant Advertising Advertising - Directory & Guide Advertising/Agencies Advertising/Cable Advertising/Direct Mail Advertising/Online Advertising/Outdoor Aerial Photography Aerospace Technical Consulting Aesthetics Age Management Agriculture/Fertilizer Air Charters Air Conditioning/Heating Air Duct & Dryer Vent Cleaning Air Express Services Air Purification/Filtration Aircraft Sales & Service Airline Companies Airports Aluminum Products Animal Sanctuary Animal Shelter Annuities Answering Service Apartments/Townhomes Apparel Apparel Corporate Appliance Repair Appliances/Retail Architects Architectural Measuring Service Art & Framing Art Galleries Artist/Fine Art/Portraits Arts & Crafts Arts Centers/Museum Asset Recovery Assisted Living Facilities Associations Associations - 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Wireless Networks Concessions Condominium Rentals Condominium/Developer Condominiums Congregate Living Consignment Shops Construction Commercial & Residential Construction Consultants Construction Management Construction/Undergroud Utilities Consultants Consumer Protection Contractor/Auto Glass Contractor/Referral Service Contractors/Building Contractors/General Convenience Store Convention/Banquet Facility Cookware Copier/Facsimile Machines Copy Machine/Sales & Services Copy Service Corp Office - Hospitality Cosmetics Counseling & Support Services Countertops Country Clubs Court Reporter Credit Card Processing Credit Counseling Credit Union Cruise Lines Currency Exchange Custom PowerPoint Presentations Dance Instruction Dance Studio Data Processing Data Services Database Managment Dating Service Day Spa Debt Management Decorative Surfaces Delicatessen Delivery Service Dental Clinics Dental Equipment/Sales/Service Dental Insurance Dental Lab Dentist Department Stores Dermatology Design/Builders Dialysis Outpatient Digital Advertising Direct Mail Disability Services Disaster Relief Disc Jockey/Concert Promotions Displays/Exhibits/Store Fixtures Diving Instruction Divorce Mediation Services Document Imaging Donation Center Draperies Drug Detection & Testing Drug Rehabilitation Dry Ice Economic Development Services Education Educational Consulting Electrical Contractor Electrical Equipment & Service Electronic Components Electronic Distributor & Manufacturer Elevators Embroidery Employee Benefits Employee Development Employee Leasing Employment Agencies/Services Employment Agencies/Temporary Employment Screening Energy Saving Devices Engineering Engineering/Ergonomics & Safety Engineers/Consulting Engravers Entertainment Entertainment Agencies Environment Environmental Consultants Equipment Leasing Equipment-Restaurant/Service/Design Equity Savings Program Event Marketing Consultants Event/Meeting Planning Excavating Facilities Management Family Services Farmer Market Fashion Design Film Processing/Production Film/Industrial & Commercial Financial Advisor Financial Consultants/Planners/Services Financial Services Financing Fingerprinting Fire Alarm Systems Sales & Service Fire/Water Restoration Firearms Fireworks Display Fishing Parties/Charters Fitness & Recreation Centers Flags & Banners Flooring Florists/Retail Food Distributors Forensic CPA Foster Care/Adoptions Franchise Consultant Fraternal Freight Transportation Frozen Yogurt Fruit Fulfillment House Fund Raising Funeral Directors Funeral Homes/Cemeteries Furniture Furniture Dealers-Retail Furniture Manufacturers Furniture Renting Furniture/Custom Garage Doors/Openers Gardening Supplies Gas Company Gas Station Gift Baskets/Gift Shops Glass Golf Carts Golf Courses/Clubs/Driving Ranges Golf Equipment & Supplies Golf Tournament Gourmet Foods Government Granite Countertops Graphic Design/Arts Graphic Printing Grease Traps Green Business Grinding Grocers/Retail Gym Gymnastics Hair Care Products Hair Cutting & Styling Hair Pieces/Wigs Hair Removal Hair Salon Handyman Services Hauling - 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Items Residential Detox Residential Rental Furniture Resorts Restaurant - Equipment Repair Restaurant Supplies Restaurants Retail Retail Development Retail Software Retirement Homes/ALF Retirement Living Reverse Mortgage Lending Road Construction Roof Contractors RV Dealership RV Parks RV Resorts Safes Sailboat Charters Sales Training/Seminars Sales Verification Sales/Leads Sales/Marketing Consultants Sanitation Consultants & Services Scholarships/Grants School Supplies/Apparel Schools - Charter Schools/Kindergarten Schools/Private Schools/Professional Schools/Special Education Schools/Technical Scooters - Wholesale Scrapbooking Screen Printing Scuba Diving Seafood/Retail/Wholesale Security Consultants Security Systems - Commercial Security Systems - Residential Security Systems/Services Senior Citizens' Service Senior Living SEO Service Clubs Service Stations Shipping Services Shipping/Packing/Binding Shoes/Retail Shopping Center Developer Shopping Center Leasing Shopping Centers/Malls Shutters Signs Sink Hole Remediation Skin Care Treatment Social Networking Social Services Software Software Development/Engineering Sound Systems Spa Special Events Specialty Stores Speech Pathology Sporting Clubs/Events Sporting Goods/Rentals Sports Bar Sports Memorabilia Sportswear Staff Augmentation Stock & Bond Brokers Storage Storm Protection Student Loan Consolidation Student Services/Internships Sunscreen Products Surf Shop Surgeons Surveyors/Engineers Swimming Pool Contractors/Dealers/Maint. & Serv. 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Number of Part Time Employees Number of Rooms Number of Seats Number of Associates Number of Locations Millions in Assets Additional Categories Cost One-Time Application Fee Tax Full-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information Part-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information Hotel/Motel Rooms Required Please enter a valid number Please enter a valid date Please enter valid credit card information Restaurant Seats Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Associates Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Associates Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Locations Required Please enter a valid number 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this application you confirm that your organization aligns with the mission of AMPLIFY Clearwater which is to promote and meet the needs of businesses, tourism, and industry and to provide leadership for the advancement of economic vitality and equality for the community of the North Pinellas Region. 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