Leucadia-Encinitas Hwy 101 MainStreet Association

Business Membership Pledge Form

Level Cost/Year Benefit
Resident $25.00 - Receive Leucadia 101 Newsletter
- Eligible to participate on committees and Board of Directors
Business $50.00 - Receive Leucadia 101 Newsletter
- Eligible to participate on committees and Board of Directors
- $20 ads in Leucadia 101 Newsletter
- Involvement in programs, promotions and special events
Property Owners $250.00 - Receive Leucadia 101 Newsletter
- Eligible to participate on committees and Board of Directors
- $20 ads in Leucadia 101 Newsletter
- Involvement in programs, promotions and special events
Benefactor $250.00 - Receive Leucadia 101 Newsletter
-Eligible to participate on committees and Board of Directors
- $20 ads in Leucadia 101 Newsletter
- Involvement in programs, promotions and special events
- Recognition in Leucadia 101 Newsletter throughout the first year
- Name or business included on recognition plaque


Print this page, detach the bottom portion and return it with your check (payable to DEMA) in a closed envelope to:

Leucadia 101, c/o DEMA
216 N. Coast Highway 101
Encinitas, CA 92024



Yes, I want to become a member of the Leucadia-Encinitas Hwy 101 MainStreet Association!

Name:

_____________________________________

Business Name:

_____________________________________

Address/City:

_____________________________________

Telephone:

_____________________________________

E-Mail Address:

_____________________________________

Signature:


_____________________________________

Membership Level:


_____________________________________

Web page hosting
($80.00):

Yes _____ No ____

Total Amount
enclosed::

_____________________________________