Membership Registration Form

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Name:

Business Name:

Business Website:

Business Address:

Phone Number:

Cell Phone:

Email:

Social Media Handles:

Best way to reach you:

MEMBERSHIP LEVEL

All memberships are valid for one calendar year January 1 - December 31. Please reference above for membership level details.

SPONSORSHIP LEVEL

Sponsorships help offset the cost of the Halloween Harvest Event + Colusa Circle Tree Lighting Event to keep them free to the public. Please reference above for description of sponsorship levels. Sponsorship payment will not be collected until October.

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 Zip Code East Bay, 380 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.

Questions about membership or sponsorship levels? Contact josh@zipcodeeastbay.com for more information!

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