SPONSOR NAME: _____________________________________________________
BUSINESS NAME: _____________________________________________________
BUSINESS OWNER: ____________________________________________________
CONTACT PERSON: ___________________________________________________
BUSINESS STREET ADDRESS: ___________________________________________
CITY: ___________________  STATE: ___________  ZIP: ___________________
MAILING ADDRESS: ___________________________________________________
BUSINESS PHONE: _________________ FAX: _____________________________
CELL PHONE: (    ) ___________________________________________________
EMAIL ADDRESS: ____________________________________________________
BUSINESS DAYS AND HOURS: __________________________________________
DATE OF APPLICATION: ____________  YEARS IN BUSINESS: _______
Committees/Areas I am interested in:
__ SPECIAL EVENTS    __ PUBLIC RELATIONS   __ MEMBERSHIP   __ OTHER

BUSINESS CATEGORY: _____ Retail _____ Business/Residential Services _____ Dining/Night Life _____ Health & Beauty _____ Lodging/Hospitality _____ Recreation/Activities _____ Other (describe below) ____________________________

SHOPS - SPECIALTY: _____ Antiques _____ Apparel & Jewelry _____ Art Galleries _____ Food & Drink _____ Gifts & Décor _____ Variety Shop _____ Other (describe below) _____________________________

Please make checks payable to:

Inverness Olde Towne Association
Attention: Treasurer
P.O. Box 771
Inverness, FL 34451