Application for Membership

I hereby apply for membership in the Ruston Point Defiance Business District. I certify that I am over the age of 18 and that I own or operate a qualifying business within the boundaries of the corporation. I have tendered $50 in annual dues for the year.

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Signature

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Legibly Print Name

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Date of Application

Print name and address of qualifying business:

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Telephone Number of Applicant

Certification of Credentials Committee

I hereby certify, based on the above information contained in this application, that the applicant meets the requirements of membership. With my signature below this applicant is eligible to vote as a member.

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