Midway Business Association
Dues Statement 2008-2009
To download a copy of this form go to our Downloads page.
Business Name: _______________________________Phone:_________________
Fax: ______________________ e-mail____________________________________
Address: ___________________________________________Zip:______________
Contact name:_____________________________Title:____________________
Dues are:
Non Profit $ 25.00
Sole Proprietor $ 50.00
2-10 employees $ 75.00
11 or more employees: $100.00
Sustaining member: $200.00
Amount of dues paid $___________
Thank you for your support.
I’d like to help with
ڤ Group Marketing
ڤ Neighborhood Liaison
ڤ Crime Prevention & Safety
ڤ Bringing in new businesses
ڤ Summer Event
ڤ Marketing Brochure
ڤ Other
This is my interest:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Please return form to:
Midway Business Association
1720 SE 122nd Ave.
Portland, Oregon 97233
