LoDo District, Inc. - Membership Application

Primary Contact (Name):*
Person to receive communications and event notices
Primary Contact (Title):*
Business Name:*
Address:*
City:*
State:*
Zip:*
Website Address (Businesses only):
Main Phone Number:*
Direct Phone Number(Will not be made public) :
E-mail (Will not be made public):*
Fax Number (Will not be made public):
Billing Contact Name (If different from above):
Billing Contact Title:
Billing Address (If different from above):
City:
State:
Zip:
* Required Field Please check one category that best describes your business:
Attraction   Personal Services Banking / Financial   Professional Services Construction / Industrial   Public Services Design, Planning & Engineering   Real Estate & Development Gallery   Restaurant Hotel   Shopping Parking
How did you learn about the LoDo District, Inc.?
Mailing Website Recruited Other
2008 LoDo District Membership Levels
Please check one:
Sponsor = $1,250 Business (Gross Annual Revenue of $1 Million or Greater) = $600 Business (Gross Annual Revenue of Less than $1 Million) = $250 Art Gallery, Non-profit Organization = $100 Standard Individual Membership = $80 Young Professional Membership (Up to Age 35; E-Membership) = $40
Payment Options:
Check: I will mail a check in the amount of $ Visa Master Card
Name on Card:
Billing Address (If different from above):
Card Number:
Expiration Date:
3 Digit PIN:
Security Note: All information transmitted through this site is protected through SSL (Secure Socket Layer) Encryption. Your credit card information will not be shared with anyone other than The LoDo District, Inc.
Please mail to: LoDo District, Inc., 1616 17th Street Suite 478, Denver, Colorado 80202 If you have any questions, call 303-628-5428.  Thank you for joining!