Sandusky Main Street Association Application

Thursday, May 17, 2012

After completing the form, click on 'submit' and you will be directed to a page with information about completing your donation through a secure credit card transaction.

Application Form

First Name:

Last Name:

Email Address:

Company or Organization Name (Optional):

Street:

City:

Zip Code:

Telephone:

State:

Type of Membership (select one):

Business Donor ($100)
Residential Non-Business Donor ($25)
Other

Please enter your donation amount only if you select 'other' above

Additional Charitable Donation Amount (If 'Other' selected above):

Please enter the security code exactly as it appears below the image box

(Security Code) Enter the charcters into the
box below for your safety :

Submit

The Sandusky Main Street Association is a registered 501(c)(3) non-profit organization.

Sandusky Main Street Association Application

Join the Sandusky Main Street Association! Complete the form below, or click here for a downloadable printable application (Adobe Acrobat Reader required).

Checks should be made payable to Sandusky Main Street Association.

Forward payment to:
Sandusky Main Street Assocation
279 East Market Street
Sandusky, OH 44870

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