Pilot Mountain Area Business Association
Application for Membership – Through Calendar Year 2014
Business Name: ________________________________________________________
Member’s Name: _______________________________________________________
Business Address: ______________________________________________________
City, Zip: ___________________________________________________
Mailing Address: ________________________________________________________
(if different than above) Street, City, Zip
Business Web Page URL: ________________________________________________
E-Mail Address: ________________________________________________________
Phones - Business: ______________________ Mobile: ______________________
Complete this application form and send with your membership fee of $25, payable to "PMABA" for membership through 12/31/14
Mail to:
PMABA
PO Box 1392
Pilot Mountain, NC 27041-1392
or
You may bring this completed application and your check to any monthly PMABA meeting,
held the first Tuesday of each month at 7:30a.m. in the Pilot Center, 612 East Main St, Pilot Mountain
Application for Membership – Through Calendar Year 2014
Business Name: ________________________________________________________
Member’s Name: _______________________________________________________
Business Address: ______________________________________________________
City, Zip: ___________________________________________________
Mailing Address: ________________________________________________________
(if different than above) Street, City, Zip
Business Web Page URL: ________________________________________________
E-Mail Address: ________________________________________________________
Phones - Business: ______________________ Mobile: ______________________
Complete this application form and send with your membership fee of $25, payable to "PMABA" for membership through 12/31/14
Mail to:
PMABA
PO Box 1392
Pilot Mountain, NC 27041-1392
or
You may bring this completed application and your check to any monthly PMABA meeting,
held the first Tuesday of each month at 7:30a.m. in the Pilot Center, 612 East Main St, Pilot Mountain