Membership Application

Pilot Mountain Area Business Association
Application for Membership – Calendar Year 2017

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 12/31/2017. Mail completed application and check to:

PMABA
PO Box 1392
Pilot Mountain, NC 27041-1392

or

You may also bring this completed application and your check to any monthly PMABA meeting, held on the first Tuesday of each month.  See our HOME page 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.