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JOINT EXERCISE OF POWERS <br />AGREEMENT <br />ORGANIZATIO <br />Applicant Nalnne: 3 <br />Address: <br />City, State, zip <br />Fede,61 ID Nuwbs <br />Contact Person: <br />Title: ** <br />E-mail: <br />Phone: <br />Website: <br />APPLICANT ORGANIZATION TYPE: <br />0 K-12 <br />al-I'Government or Municipality (please specify: <br />13 Higher Education <br />0 Other (please specify: <br />1 WAS REFERRED BY: (please specify) <br />© Advertisement <br />13 Curfent NJPA Member <br />Er Vendor Representative <br />GY' Trade Show <br />13 NJPA Website <br />13 Other <br />Completed applications may be returned to: <br />National Joint Powers Alliance Q <br />202 12" Street NE <br />Staples, MN 56479 <br />Duff Erinoltz <br />Phone 218-894-5490 <br />Fax 2 t 8-894-3045 <br />E-nnnit dufferuoltz rr njpacoop.org <br />iNJPA <br />National JoInt.Powers Alllance" <br />Referc�ce: <br />ivtinnesoEo.Fuiut Escrciseaf Poerers <br />tvi:S. 471,59 <br />Participating Agemy <br />Jaunt Exercise of Powers. Authority <br />granted under State Statute <br />, ) 19 W, <br />J! <br />J <br />Rev,12/2014 <br />