BUSINESS NAME__________________________________________________________________________

CONTACT PERSON________________________________________________________________________

BUSINESS STREET ADDRESS_______________________________________________________________

PHONE NUMBER_________________________________________________________________________

BUSINESS HOURS________________________________________________________________________

BRIEF DESCRIPTION OF BUSINESS__________________________________________________________

________________________________________________________________________________________

SUGGESTIONS/QUESTIONS ON HOW THE SILER CITY MERCHANTS ASSOCIATION CAN HELP YOU IN YOUR
BUSINESS
______________________________________________________________________________

______________________________________________________________________________

DO YOU WANT TO BE NOTIFIED OF MEETINGS & EVENTS BY PHONE, MAIL, OR E-MAIL?___________

E-MAIL ADDRESS___________________________________________________________________________

PLEASE RETURN THIS FORM TO:
Amanda Underwood
The Fidelity Bank
P O Box 564
Siler City, NC 27344
______________________________________________________________________________

MEMBERSHIP DUES: $100 YEARLY OR $25 QUARTERLY
DATE JOINED_________________________________________
AMOUNT PAID BY: CHECK__________________ CASH________________________