Membership Signup Form

Name
Business Name:
Contact Person:
Title:

Contact Information
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Website:

Additional Information
Base Fee:
(FTE - Full Time Employees or Equivalent)
Number of rooms:	(Lodging Only)
Number of campsites:	(Campgrounds Only)
Number of chairs:	(Restaurants/Bars Only)
Number of stores:	(Malls Only)
Total Dues:
Total Dues = Base Fee Plus Dues Per Room/Site/Chair/Store
Comments: