Name *

First Name

Last Name

Phone

(###)

###

####

There are two options for participation status in the Brazil Main Street, Inc. organization.

Please circle one choice for your Brazil Main Street, Inc. organization status:

Volunteer Status: This means you are active in the organization on a voluntary basis. There is no membership fee and no mandatory attendance requirement. You may participate by attending meetings, be on committees and contribute as volunteer on projects, but cannot vote or be nominated to or serve in officer positions.

Active Member Status: This means you are a dues-paying member of the organization and subject to an annual membership fee of $60 per year, payable on March 1 of each calendar year. Membership qualifies you to be a voting member and enables you to be nominated to the officer positions on the board or named chairperson of a committee. Members should attend at least 50% of planned monthly meetings, as applicable, including executive board meetings and various committee meetings. Dues will be used to fund our Annual Business Appreciation Banquet each fall.

Payment for Active Membership is due upon submission of this form

Please pay via Paypal or mail a check to Membership Committee Brazil Main Street P.O. Box 241 Brazil, IN 47834

I acknowledge I will send payment

Availability – When do you think you might like to volunteer?

Check all the apply

Weekdays-daytime

Weekdays-evening

Once a Week

Evenings

Winters Only

Summers Only

Weekends

Occasionally

Once a Month

Anytime Needed

Year-Round

Events Only

Service Areas

Below are the Committees we have to cover areas of service within our organization. Please check on any of these areas you are interested in.

Beautification

Organizational Compliance

Community Events

US 40 Fest Event

Membership & Fundraising