Application for Silvis Business Association Membership.

Business Name _________________________________

Address______________________________________

Contact person ___________________________________

Phone ______________________________

Email address ___________________________________________

Web address (if you have one) _____________________________

Type of Business __________________________________________

Dues are $90 per year
Meetings are the 3rd Tuesday of the Month at 12:30PM
We rotate between Frank's Pizza, Sluggers Pizza and P.K. Dugan's
Please check the event calendar for which place we are meeting that month!



Please return application and check to
Silvis Business Association
P.O. Box 107
Silvis, Il., 61282
www.silvisbiz.com
or Email to
Dr. H. Dan Bobb,
at drhdbobb@sbcglobal.net