Membership Application

Company/Organization Name:_______________________________________________

Contact Person: __________________________________________________________

Address:________________________________________________________________

City: _______________________________________St:_______ Zip Code:__________

Phone:________________________ Fax:__________________________

E-mail:_____________________________ Web Site:___________________________

Please list any activities you would be interested in helping with:

_____Teen Dances

_____Dinners

_____Thomas Mitchell Days booth at City Park

_____Parades

_____Fund Raising

_____Christmas Tour of Homes

_____Promotion/Marketing

_____Other______________________________________________________________

Membership dues are $25 per year

Monthly Calendar $25 per year

Would you like to purchase advertising in any of the following: If interested, check which ones and we will discuss specifics with you.

Membership directory one time payment of $50 ___________

Web site $50 per year____________

Quarterly newsletter $25 per year_____________