EmailMe Form - PMSA Membership Application

Business Name

Contact Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email

Web Site

Type of Business

Billing Address (if different from above)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Annual Investment

Business/Business Owner - $150/year

Individual - $35/year

Commercial Property Owner - $150

Non-Profit - $50/year

Which of the following are you interested in?

Please tell us why you are joining PMSA and what you hope to gain from your membership:

How did you hear about Puyallup Main Street Association?

Image Upload

Please upload an image of your business logo.

Yes, I would like to receive PMSA's bi-weekly enewsletter and other emails regarding PMSA happening and event.

Yes