Name*
Work Address*
MMANC Member*
ICMA Member*
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Application Processing*
Your application will be submitted to the CGL Committee, for review. You will receive a response within two weeks following receipt of your application. Once accepted into the Program, you will be invoiced the $75 Participant Fee.

I certify that the information contained in this application is correct to the best of my knowledge. I understand that falsifying information is grounds for dismissal from the Program.
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