Skippack Village Business Association

2004

Membership Application

Please take a minute to join or renew your membership by filling out the enclosed application. If you join or renew by March 31st 2004, the annual dues of $240 is discounted by 10% to the amount of $216.

Business Name:          __________________________

Type of Business:       __________________________

Mailing Address:        __________________________

Business Address:      __________________________

Phone Number:           _____________

E-Mail Address:          _____________

Fax Number:                _____________

Web Address:              _____________

Please make your check payable to the SVBA

Your can deliver your Application & Check to:

Charlie Shaffer

Chairman, SVBA Membership

LeButler's Pantry

4033 Skippack Pike

Skippack, Pa. 19474

     ( Or)

               Mail to the following Address:

Skippack Village Business Asssociation  

Attn: Membership Committee

P.O. Box 738

Skippack, Pa. 19474

              

For a copy of this application page click