JOIN THE MAINSTREET DELAND ASSOCIATION!

You can print this page out, fill in the blanks and mail your dues to the MainStreet DeLand Association at:
P.O. Box 3194
DeLand, Florida 32721-3194
All memberships are tax deductible

Enclosed is my check # __________ in the amount of $___________
Please check the appropriate membership application:

SPONSOR
Foundation ($1,500) ___
Gold ($750) ___
Silver ($500) ___

BUSINESS OR PROPERTY OWNER
Large Business (11+ staff $300) ___
Medium (4 - 10 staff $175) ___
Small Business (1 - 3 staff $125) ___

ASSOCIATE MEMBER
($175) ___
For civic and community organizations

FAMILY ($75) ___

INDIVIDUAL ($40) ___

Business/Member name___________________________
Address ________________________________________
_______________________________________________
_________________________ Zip __________________
Contact Person _________________________________
Telephone ________________________
Signature _________________________
Date _____________ Recruiter
MainStreet DeLand Association
Executive Director: Jack Becker
P.O. Box 3194 - DeLand, FL 32721-3194 - 100 N. Woodland Blvd.
Phone 386.738.0649 - Fax 386.738.7676

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