|
COMPANY/SCHOOL NAME |
CONTACT PERSON |
TODAY'S DATE |
|
MAILING ADDRESS |
CITY |
STATE |
ZIP CODE |
|
PHONE |
FAX |
| |
|
BUSINESS ENROLLMENT FEE |
NUMBER OF EMPLOYEES ON PENINSULA |
The one-time enrollment fee is determined by the number of employees. Please check one.
| Fewer than 10 employees - $50 | 10 to 25 employees - $100 |
|
More than 25 employees - $250 |
Non-profit/gov't agency - $75 |
| SCHOOL ENROLLMENT FEE | All schools $25 |
Mail to:
| KENAI PENINSULA GREEN STAR |
|
| P.O. BOX 2431 |
|
| KENAI, ALASKA 99611 |