Pilot Mountain Area Business Association
Application for Membership – Calendar Year 2019
Business Name: _______________________________________________________________________
Member’s Name: ______________________________________________________________________
Business Address: _____________________________________________________________________
City, Zip: _______________________________________________________________________
Mailing Address: _______________________________________________________________________
(if different than above) Street, City, Zip
Business Web Page: ________________________________________________ Publish? Yes No
E-Mail Address: _____________________________________________________ Publish? Yes No
Phone #s:
Business: ______________________ Mobile: ______________________
Fax: ______________________
Complete this application form and mail it with your $25 membership fee for PMABA membership through 12/31/2019. Mail completed application and check to:
PMABA
PO Box 1392
Pilot Mountain, NC 27041-1392
or
Bring this completed application and your check to our next monthly PMABA meeting, held on the second Monday of each month. Follow us on Facebook for meeting locations. You need not be a member to attend meetings (we’d love to see you), but only paid members may cast votes for PMABA business decisions.