Membership Application

Please check one:

New Member Renewal

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: Full-Time  Part-Time 

                (Including Owner)

OWNER INFORMATION

Name(s):            

Mailing Address:    

City, State, Zip:   

                (If different than above)


How will S.T.A.R.S. benefit from your membership?

Best Source of Advertising:
DIRECTORY LISTING ON S.T.A.R.S. SITE

Tag Line for Listing:

Please see other member directory listings on site for examples of Tag Lines.
E-mail address to be included with listing:

Member stores may be listed in ONE specialty category. Please indicate the category below where you would like your store listed (choose your primary business concentration):

Please indicate your location area:

Website Link URL (add $50 to your Dues for a link):

Membership dues are $50/year. If you are a new member, there is also a one-time website listing fee of $50 (required).

BEFORE you click Send, print this form and mail along with your payment ($100-for new members, $50-for renewing members) 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 and we know your business will greatly benefit from being a part of S.T.A.R.S.!

NEW MEMBERS $100.00	RENEWING MEMBERS $50.00