Company Name

              -MEMBERSHIP APPLICATION-

 

Please Print out this form, complete the information requested, copy for your records,

And mail with a check made out to CBA for $30.00 to:

 

Community Business Association

PO Box 362

Bolivar, Ohio 44612

 

 

   Our meetings are held the second Wednesday of each month at 7:30 AM at the

   Wilkshire Hills – Sleep Inn on State Route 212 next to McDonalds. We’ll look

   forward to seeing you there. Membership is renewed annually at the cost of $30.00

 

 

Company Name

 

Company Name

 

Contact Person

 

Date:

 

Address:

 

Phone:

 

Fax:

 

Email Address:

 

Company Web Site:

 

New Membership      o                         Renewal      o