Corrales MainStreet Enrollment Form

Name *

First Name Last Name

Email *

example@example.com

Personal Phone

- Area Code Phone Number

Category of Membership *

Individual $30 Corporate Sponsor Business $60 Nonprofit Org $30

CORPORATE SPONSORSHIPS are available to businesses located outside the village limits. Each corporate sponsorship is customized based on the mutual interests of the business and Corrales MainStreet.

Request a call from Corrales MainStreet official:

Yes

Preferred phone number:

- Area Code Phone Number

Business Name *

Corrales businesses are diverse and unique. Please tell us what "category" would best fit your business if someone is looking for your products or services. We will use categories submitted by members to assist in the final selection of categories on the website, but reserve the right to edit for clarity and simplicity.

Business Category *

Business Phone *

- Area Code Phone Number

Businesses with a physical location within the Village Limits are eligible for pin placement on the map in our business directory. If you operate a home-based business, pin placement is OPTIONAL.

Does your nonprofit organization have an office or storefront in Corrales?

Yes No

Business Street Address

City

Zip

Do you want your address in our directory and your location shown on our map?

Yes No

Organization Name *

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Website URL

Facebook Fan Page URL

We value volunteers! Get involved! Select an area of interest in which you might be able to help us in the future:

Comments, suggestions, questions:

You will be redirected to PayPal.com when you select your payment amount and click "Submit". No PayPal account is required - just select 'pay by credit card'.

Individual $ 30.00

Non-Profit Organization $ 30.00

Business $ 60.00

Total $ 0.00

Thank you for your support of Corrales MainStreet! We will add you to our newsletter if you aren't already a subscriber.

Please press "Submit" to complete the process.

Use this form to become a Corrales MainStreet Partner