First Name:*
Last Name:*
Business Name:
Address:*
City/State/Zip:*
Business Website:
Email:*
Primary Phone:*
Cell Phone:
Fax:
Please check all that apply:
This is a business gift
This is a personal gift
Would you like to learn more about volunteering for Cambridge Main Street?
Any suggestions/observations about the Main Street program?
How would you like to pay?
Credit Card Online (PayPal)
Check
Select Membership Type:
- Choose One -
Membership Fees Diamond Partner - $2500.00
Membership Fees Friends (enter amount) - $0.00
Membership Fees Gold Partner - $500.00
Membership Fees Platinum Partner - $1000.00
Membership Fees Silver Partner - $250.00
Membership Fees Stakeholder - $100.00
If you selected the "Friend" membership level,
please enter the amount of your donation:
note: minimum amount is $25, do not use the $ sign (i.e. 50 not $50)