Become a Member Be Part of Building South Burlington’s Downtown!Together, We Shape the Future of City Center - Join The Collaborative! Name * First Name Last Name Business Name (if applicable): Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Cell Phone: (###) ### #### Home Phone: * (###) ### #### Membership Type: Check one or more: Send a check to > 100 Dorset St, Suite 13, South Burlington, Vermont 05403 (Please make the check payable to ‘South Burlington City Center Collaborative’) Senior/Student $15 Individual $50 Business $100 Other $_______ I am interested in being on the following Committee: Join Us! Please list any other skills you would like to offer in [Other]. Events/Marketing Membership/Recruitment Organizational/Governance Design Business Association Other______________________ May we have your permission to include your name in our public acknowledgment list of members? Select one: Yes No Thank you!