Gray                                 P.O. Box 8353
Business                           Gray, TN 37615-8353
Association                       (423) 747-3320

MEMBERSHIP APPLICATION

BUSINESS NAME _____________________________________________________

CONTACT NAME _____________________________________________________

BUSINESS ADDRESS _____________________________________________________

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BUSINESS PHONE _____________________________________________________

BUSINESS FAX _____________________________________________________

CELL PHONE _____________________________________________________

E-MAIL ADDRESS _____________________________________________________

# OF YEARS IN BUSINESS _____________________________________________________

DESCRIPTION OF YOUR BUSINESS _____________________________________________________

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Annual Membership Dues / $100 per Business