LANCASTER AVENUE BUSINESS ASSOCIATION
COMMUNITY DEVELOPMENT CORPORATION
(LABA-CDC)

One Voice, One Association, Bridging Business & Community...
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E-MAIL lancasteraveba@aol.com
GENERAL MEMBERSHIP COMMITTEE
( Participant Application Form)

( Please Print Clearly)

NAME OF BUSINESS:__________________________________________________________________

BUSINESS REPRESENTATIVE:__________________________________________________________

ADDRESS:____________________________________________________________________________

TELEPHONE:_________________________________________________________________________

Email:________________________________________________________________________________
DESCRIPTION OF BUSINESS: ( EXAMPLE – CLOTHING STORE, GROCERY STORE, ETC.)

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ANNUAL MERCHANT DONATION
The cost of annual business membership donation is based on your business or organizational size.
LABA-General Membership Committee Donation Chart:
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Membership Donations should bepaid in full. 1 - 9 Employees .............................................................................$100.
Paid membership donation is for LABA fiscal 10 - 19 Employees .......................................................................$150.
year Jan 1, through Dec. 31 per pending year. 20 - 39 Employees........................................................................$200.
.................................................................................... 40 + _ Employees .......................................................................$250.
Resident Membership Donation....................................... Per Family .......................................................................$ 25.
*** All services programs and initiatives of LABA-CDC are made possible through merchant participation, fundraising efforts,
voluntary contributions, in kind services, institutions, grants, private donations and sponsorship from caring individuals like you.
Your support is greatly appreciated... Thank you
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For your convenience please refer to donation chart and check amount that relates to your business.
( ) 1-9 ...$ 100.00............................( ) 10-19 $ 150.00 ............................ ( ) 20-39 $200. 00 .................... ( ) 40 + $ 250.00...................
( ) Resident $ 25.00

SIGNATURE ____________________________________________________________ DATE:__________________________

THE LABA-INC. SHALL PROVIDE RECEIPTS PER MEMBERSHIP PAYMENT

Please Submit Application with Check or Money Order Made Payable to,
" Lancasster Avenue Business Association Inc."
228 South 40th Street, Suite 31898
Philadelphia, PA. 19104
Attention: General Membership Committee

“ TEAMWORK AND UNITY-ARE THE CORNERSTONES OF SUCCESSFUL EFFORTS”
SINCE 1986
www.thelaba-cdc.org