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Membership Form
Fill out the form in Print, not cursive. Clear to read
Members Business/Individual -Fill out what applies to you & amount

Members can add 2 additional family/friends' emails to receive the newsletter
Company Name______________________________________________
Member's Name (Business/Individual)
First Name_________________________Last Name_________________
Business

Business/Individual Address: (only put address if you want people to come to your Location address) ________________________________________________
Mailing Address (Business ) _________________________________________
CityState / Province _______________________________________________
Zip Code _______________________________________________________
Business Phone Number ___________________________________________
If Available, Business Website or Facebook Page
______________________________________________________________
Business/Individual Email Member to receive Newsletter

example@example.com
______________________________________________________________
#1 Extra email approved to receive the newsletter

example@example.com
______________________________________________________________
#2 Extra email approved to receive the newsletter

example@example.com
________________________________________________________________

Amount____$100___ Park County____

For Each Additional County You May

Wish To Be Added And Be A Part Of _$75 each___ Chaffee _____

Summit ______

Please Mail & Write Check Out To:

What's Happening In The Mountains

P.O. Box 782

Fairplay, CO. 80440

Let's Spread The Word To The Community

Welcome to all the new faces

Membership Form