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| Street Address
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| Address (cont.)
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| Where Should We Contact You?
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What is the name and address of the association?
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How long do you want the Professional Association to exist? (Perpetual, number of years, or until a date certain.)
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What is the type of professional service the association will perform?
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What is the street address of the office of the association?
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What are the names and addresses of each of the members of the Professional Association?
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Are each of the original members licensed to perform the type of professional service for which the association is formed?
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What are the names and addresses of the persons who are on the initial board of directors or executive committee of the Professional Association?
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