Lincoln County Economic Development Council
Membership/Support Form

Return Form and Fee to:
Lincoln County EDC, P.O. 1304, Davenport, WA 99122


Business, Organization or Individual

__________________________________________________________________

Contact: ____________________________________________________

Address: ___________________________________________________

                ___________________________________________________

Phone(s): ___________________________________________________

E-mail: _____________________________________________________

Web Site: __________________________________________________


Please Check One

Civic Minded Individuals $  50
Entrepreneur (Start-up) $  50
Chamber of Commerce $100
Silver Business $ 100
Gold Business $ 250
Platinum Business $ 500*
  *Suggested minimum  
The Lincoln County EDC would like to recognize you by publishing your name on the EDC website and in the newsletter. Please indicate your preference:
Do NOT publish my name as a member/supporter
Publish my name as a member/supporter
Publish/link my email as a member/supporter
Link to my web site address as a member/supporter