Vancleave Merchants Association

 Member Application

P.O. BOX 5504

VANCLEAVE, MS  39565

APPLICATION FOR MEMBERSHIP

Date:_________________ Name of Business_____________________________

Physical Address        _________________

                                    _________________

Mailing Address         _________________

                                    _________________

Type of Business        _________________                          Phone________              

                                                                                               Fax_________________

Owner____________________________                            Cell _________________

                                                                                               e-mail________________

Other Contact Person ______________________

Years in Business________                            Business License ___________________

New Member ___________                           Renewing Member ___________

Opportunities:

_____Board of Directors                                            _____Membership Recruitment

_____Fund Raising                                                     _____Scholarships/Education

_____Community Improvement                                 _____Newsletter/Public Outreach

_____Ribbon Cutting Committee

Other_______________________

Which Festival(s) will you support and participate in?

____    Fireman Appreciation/Antique Car Show

____    Christmas Light Decoration Committee

____    Trick or Treat Under the Oaks

____    Christmas Parade (sponsored by CJCFD)

Annual Fee Regular Member $35.00              Sponsor Member $150.00

Received: _________ Check #

Package membership $150.00 per year: includes:

Dues, Trophy for Car show – Drinks & food provided (as applicable) for Car show, and Fall Festival/Christmas Festival.

Contacts:         Mark Hopkins 223-7499                     Alisha Tanner 591-1127