Lexington Business Association 2007 New Membership Application Form

Lexington Business Association 2009 Membership Application Form

2009 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____

1st LEXINGTON OWNED BUSINESS: (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: