Lexington Business Association 2010 Membership Application Form

2010 Annual Membership Fee(s) $50.00 for first business listing and $25.00 for second business listing.  $25.00 Associate Member (Certain restrictions apply).   Businesses must be located within the LBA boundaries.  Make checks payable to:  Lexington Business Assoc.   Mail to:  LBA - Membership   PO Box 552     Lexington  MI  48450   New____  Renewal____.  Dues received after January 10th will be added to the web site, but may not be in time to be listed in the 2010 Visitors Guide.

1st LEXINGTON OWNED BUSINESS $50:   (Please Print)

Business Name__________________________________________________Year Est.______

Business Address_____________________________________________________________

Mailing Address______________________________________________________________

Contact Person (s) - Name and Title______________________________________________

Business Phone______________________ Business Fax_____________________________

Email Address_______________________________________________________________

Web Address (Url)____________________________________________________________

2nd LEXINGTON OWNED BUSINESS $25:

Business Name__________________________________________________Year Est.______

Business Address_____________________________________________________________

Mailing Address______________________________________________________________

Contact Person (s) - Name and Title______________________________________________

Business Phone______________________ Business Fax_____________________________

Email Address_______________________________________________________________

Web Address (Url)___________________________________________________________