Jasper Merchants Association

*Required

Your Name or Primary Contact*

Company Name*

Address*

City*

State*

Zip*

Business Phone*

Cell Phone (for our use only):

Email Address*

Website:

Facebook:

Number of Employees:

Type of Business:

Services provided or Products sold:

I would also be interested in being involved with one or more of these upcoming events:
Membership New/RetentionMedia/Public RelationsFundraisingEaster Egg HuntMountain City MayhemChristmas ParadeParty on Main New Year's Eve

I would like to Join the JMA for $50.00
Yes