

Mattawan Business Association
Membership Form
For the purpose of supporting the MBA’s program of promoting the commercial development and civic betterment of the Greater Mattawan Area, the undersigned hereby accepts membership in the Mattawan Business Association, Inc for one-year starting January 1, 2010 to January 1, 2011.
Date:_______________________
Business Name:_______________________________________
Contact Person:_______________________________________
Address:_____________________________________________
Phone:_______________________ Fax:___________________________
Email Address:________________________________________________
Web Site Address:_____________________________________________
Number of Employees:____________
Would you like to offer a discount to members? Yes No
If yes, please list the discount offer:
Tell Us About Your Business:
DUES
Clubs, Organizations, Churches $ 20.00
Business w/ 1 - 10 employees $ 60.00
Business w/ 11 - 30 employees $130.00
Business w/ 31 - 50 employees $180.00
Business w/ 51 - 100 employees $280.00
Business w/ 101 or more employees $380.00
Please complete this application and return it with your dues to the address below. Thank you for your support!
Mattawan Business Association
PO Box 416
Mattawan, MI 49071