Membership Form

Main Street Amherst Membership Form
Company Name*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Please upload your business logo.

Cancelof
Please give us a short description of your business.*
Email*
example@example.com
Website
Facebook
Twitter
Instagram
To pay for your membership, you can either proceed with a credit card payment below or use our Venmo: @MSAmherst #2933
Payment Choice*

MSA Venmo: @MSAmherst #2933Continue to Credit Card Information Below
Membership Options*

$500 Membership$250 Membership$125 Membership - Minimum level for Business Owners, Professionals & Non-Profits$25 Membership - Individual ($5 will go towards our scholarship fund)

Membership Options

$500 MembershipPrice includes processing fee.

$515.25

$250 MembershipPrice includes processing fee.

$258.00

$125 MembershipPrice includes processing fee.

$130.00

$25 MembershipPrice includes processing fee.

$26.25

Total

$0.00

Main Street Amherst Membership Form