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21 LODGE STREET ● ALBANY, NEW YORK 12207 T: [PHONE REDACTED] / F: [PHONE REDACTED] www.capitalizealbany.com ™ Membership FORM Please complete the form and mail to: Capitalize Albany Corporation, 21 Lodge Street, Albany, NY 12207 Please make checks payable to Capitalize Albany Corporation. If you have any questions, please contact Member Services Coordinator, Stephanie Kipp at [PHONE REDACTED] x 12 or [EMAIL REDACTED] Membership Level (Please check one): Corporate $500 Individual $100___ Last Name First Name Initial Title Organization/Company Name Address City State Zip Phone Fax Email Business Type/Industry