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Sedona Main
Street Program
Tel: 928-204-2390
PO Box 1363 Sedona, AZ
Fax:928-2042548 86339
sedmain@sedona.net
www.sedonamainstreet.com
Name of Organization: _______________________Owner:______________________
DBA (Doing
Business As):________________________________________________
Type of
Organization: ___________________Contact Name/Title:________________
Mailing
Address:______________________________________
Phone:___________________
Location Address
(if different):
___________________________
Fax:______________________
E-mail Address:
_____________________________
Web Site:
__________________________
Membership
Classifications and Annual Dues/Donation
(please check appropriate one)
-
Student/Residential
(Non-Voting) $
15.00 Minimum Annually
-
Non-Profit
Organization $
30.00 Minimum Annually
-
Out-of-District
Business/Property Owner* $ 100.00 Minimum* Annually
-
In-District
Business/Property Owner* $ 175.00 Minimum*
Annually
* Multiple
business discount available for multi-business locations with common
ownership
(first
location at standard dues, 20% off appropriate dues for each
additional location)
-
Silver
Benefactor
$ 500.00 - $ 999.99 Annually
-
Gold
Benefactor
$1000.00 - $2499.99 Annually
-
Platinum
Benefactor $2500.00 - $4999.99 Annually
-
Diamond
Benefactor $5000.00 - Above
Annually
Benefactors will receive special recognition in all SMSP Newsletters &
Membership Lists
METHOD OF PAYMENT
(please circle one):
Check Please bill me
Signature:____________________________________
Date:_______________________
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