Level 1 Membership Form Business Name Business Name for Website Listing (if different) Type of Business/Service Category for Website/Map (Choose One) ACCOMODATIONS DINING & SPIRITS APPAREL & BOUTIQUES ARTS, ANTIQUES & GALLERIES ATHLETIC & SPORTING BOOKS & LITERARY FLORIST & GARDEN GIFTS & COLLECTIBLESGOURMET HOME FURNISHINGS & DÉCOR JEWELRY OFFICE & PRINTING PAWN ENTERTAINMENT ACCOUNTING/FINANCIAL/CONSULTINGADVERTISING ARCHITECTSENGINEERINGSURVEYING ATTORNEYS EDUCATIONHEALTHNUTRITION & WELLNESSSALONS & DAY SPAS INSURANCE AGENCIES REAL ESTATE & PROPERTY MANAGEMENT AUTOMOTIVEELECTRICALMISC SERVICESORGANIZATION Business Email Business Phone Contact Person: Name Contact Person: Phone Contact Person: Email Business Address City State Zip Code Website Social Media (Facebook/Instagram) High Resolution Logo If you cannot provide your logo above please email High Resolution Logo and/or picture of business for social media and website to cshd.project.mgr@gmail.com Thank you! Please make check payable to CSHD Noting "membership" in the memo line. Mail to: CSHD P.O. Box 641 New Smyrna Beach, FL 32170 Send
