Associate Membership Application

FOR SHOPS OUTSIDE OF TEXAS

STORE INFORMATION

Store Name:         

Store Address:       

City, State, Zip:      

Email Address:       

                Telephone:    Fax:  

Date Store Opened:    Store Size:

 

Indicate the type of Merchandise you carry:

Select more than one by holding down the ctrl key







Other:



Number of Employees (Including Owner): Full-Time Part-Time

 

OWNER INFORMATION

Name(s):            

Mailing Address:    

City, State, Zip:   


                (If different than above)
Associate Membership dues are $20/year.

BEFORE you click Send, print this form and mail along with your payment of $20 to:

      S.T.A.R.S.
       c/o Second Childhood
      1922 Fountain View
      Houston, TX 77057
     713-789-6456

Once your payment has been received, you will receive a Membership Packet. We look forward to having you as a part of our organization!

 

 

NEW MEMBERS
$100.00

RENEWING MEMBERS
$50.00