Wufoo

COMMITTEE APPLICATION

Type of Application * Resident Business
Name * First Last
Company
Email *
Phone * - (###) - ### ####
Cell - (###) - ### ####
Fax - (###) - ### ####
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Company Website
DESCRIPTION OF BUSINESS (type of business, products/services, years in operation, etc):
Please check the box of any DSIC Committee that you are interested in getting involved with. MEMBERSHIP COMMITTEE: Our membership committee is designed to help members get the most from DSIC membership. PROGRAM COMMITTEE: This committee develops and organizes programs that focus on improving the economic & cultural environment in Downtown SI. SPECIAL EVENTS & FUNDRAISING COMMITTEE: Plans / executes all DSIC special events & fundraisers for the year, including our signature Drive-In Event.
Do Not Fill This Out