BUSINESS NAME: YOUR NAME: YOUR TITLE:

BUSINESS ADDRESS: , TAMPA, FL

MAILING ADDRESS (IF DIFFERENT):

PHONE NUMBER: FAX NUMBER:

E-MAIL ADDRESS: INCLUDE ON BGOSH WEBSITE: YES NO

WEB SITE ADDRESS: INCLUDE ON BGOSH WEBSITE: YES NO

LISTING CATAGORY (TYPE BUSINESS): INCLUDE ON BGOSH MAILING LIST: YES NO

INCLUDE THIS ADVERTISING BLURB ON THE WEB SITE: (up to 100 words):

ARE YOU A RESIDENT OF SEMINOLE HEIGHTS? YES NO - IF YES, HOW LONG?

PLEASE STATE WHAT IS OF MOST INTEREST TO YOU REGARDING BGOSH, (i.e., beautification, regulation, marketing, events, etc.):

EXPLANATIONS: Full Membership (New and Renewing) are open to businesses located withing the official boundaries of Seminole Heights which are

the Hillsborough River on the East and North, 22nd Street South from the River to Hillsborough Blvd. West to 15th Street,

South to Martin Luther King, Jr. Blvd then East back to the River.)

Associate Membership is for anyone who has an interest in improving Seminole Heights, however, they are not voting members and have no business listing.

Charter Membership: Designated by the Bylaws (Article III) as those who joined in the years 2005 and 2006 only.

Dues: NEW Membership............$35.00

Membership Renewal......$35.00

Charter Membership Renewal

ASSOCIATE Membership..$15.00

You get one FREE catagory listing with a full membership, but you can have as many Category listings as you wish for $15 each year.

You CAN create a new catagory if one does not already exist on the web site.

Additional Web Site Listings: $15.00 each

When you hit the SUBMIT BUTTON (below) your application for either New Membership, Renewal, Associate or Charter will be send to Membership

and you will be taken to a remittance page where you may pay using PAYPAL or information will be given where to send your check.

Your membership is NOT OFFICIAL until remittance has been received.