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Membership Registration Form
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Name:
Your answer
Business Name:
Your answer
Business Website:
Your answer
Business Address:
Your answer
Phone Number:
Your answer
Cell Phone:
Your answer
Email:
Your answer
Social Media Handles:
Your answer
Best way to reach you:
Choose
Cell Call
Cell Text
Phone
Email
MEMBERSHIP LEVEL
All memberships are valid for one calendar year January 1 - December 31. Please reference above for membership level details.
Choose
Sustaining - $300
Business - $200
Individual - $100
COMMITTEE SIGN UP
Please check at least one, or all that apply to your interests. I would love to help with the following committee(s):
Events
Marketing + Communications
Membership
Fundraising
Community Outreach
PAYMENT METHOD
Cash or check payment can be delivered to Fuse Fitness, 377 Colusa Ave, Kensington. Please make checks payable to: Colusa Circle Merchants Association. To pay online via PayPal, please use this link:
https://paypal.me/colusacircle
and make sure to select "friends and family" to avoid service charges.
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Cash
Check (made out to Colusa Circle Merchants Association + dropped off at Fuse Fitness)
PayPal (https://www.paypal.com/pools/c/87sQNnB0UT)
Questions about membership or sponsorship levels? Contact
josh@zipcodeeastbay.com
for more information!
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