Lexington Business Association 2012 Membership Application Form

2011 Annual Membership Fee(s) $75.00 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 1st will be accepted, added to the web site, but may not be in time to be listed in the 2012 Visitors Guide.

1st LEXINGTON OWNED BUSINESS $75: (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) - and Title______________________________________________

Business Phone______________________ Business Fax_______________________

Email Address____________________________________________________________

Web Address (Url)_________________________________________________________