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:

Foundation $1800
Gold $750
Silver $500
Large Business $350
Med Business $200
Small Business $150
Residential $50 & $100
Non-Resident $25

Business/Member name___________________________
Address ________________________________________
_______________________________________________
_________________________ Zip __________________
Contact Person _________________________________
Telephone ________________________
Signature _________________________
Date _____________ Recruiter