JOIN DISCOVER BURIEN

Name:

Business Name:

Address:

City: State: Zip:   

Phone:   Fax:

E-Mail:

Web Site:

Membership Levels:

    Individual                $25

    Small Business        $50 (2 to 4 employees)

    Medium Business    $100 (5 or more employees)

    Silver Member        $500

    Gold Member        $1,000

    Platinum                 $2,000

    Founder*               $5,000

* Founders will forever be recognized in our organization

All members to be listed in quarterly newsletter and online.

Please put your check in the mail to:

Discover Burien

PO Box 66237

Burien, Wa 98166