MISSION MERCHANTS.COM
P.O. BOX 40280 SAN FRANCISCO, CA 94140 (415) 979-4171

Application for Membership in the Mission Merchants Association

I would like to become a member of the Mission Merchants Association. I agree to promptly pay dues in the amount of $144.00 per year. Special 1st time member rate of $100 per year.

Business Name:__________________________________________________________

Street Address:_____________________________________________ 94110    94103

Mailing Address/City/Zip:_________________________________________________

Contact Name:__________________________________________________________

Phone:__________________ Home/Mobile/Fax:__________________ Email:__________________

Business Description You Would Like Published in a Directory: _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

I am willing to volunteer in working with the Mission Merchants Association in the following ways:

 

Signature:_______________   Date:_________

(Application subject to Board of Directors Approval)
Please send check with application