MEMBERSHIP APPLICATION

SLIDELL HISTORICAL ANTIQUE ASSOCIATION

P. O. Box 1439, Slidell, LA 70459   985-643-4790

www.slidellantiques.com

 MEMBER NAME:  _________________________________________________

 

BUSINESS NAME:  ________________________________________________

 

ADDRESS:  _______________________________________________________

 

___________________________________________________________________

 

EMAIL ADDRESS:  ________________________________________________

 

BUSINESS PHONE:  _______________________________________________

 

HOME PHONE:  ___________________________________________________

 

BUSINESS HOURS /DAYS:   _________________________________________

 

SHORT DESCRIPTION OF BUSINESS:

 

 

 

 

 

CIRCLE MEMBERSHIP LEVEL DESIRED:

A.  $35/Month - Entitles non-working members to voting priviledges,

advertising benefits, and prepayment of booth space for street fairs.

B.   $15/Month - Entitles working members to voting priviledges,

advertising benefits, and prepayment of booth space for street fairs.

NOTE:  In order to receive free booth space, members must be a

member in good standing (paid monthly dues) for at least 6 months prior

to street fair events.

 

DATE:__________________  SIGNATURE:  __________________________

 

 

 

 

 

 





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