NAME Shop Membership Application
Print this form and mail with payment to:
National Association of Miniature Enthusiasts
P.O. Box 69
Carmel, IN 46082
(317) 571-8094
(317) 571-8105 FAX
Benefits of Membership
Listing in each issue of the Miniature Gazette
Shop Name
Address
Telephone
Shop Hours
Listing on NAME's web site with your business logo and ad copy
NAME Membership Brochures
All benefits of membership in NAME for one person, including the Miniature Gazette
Immediate referrals from the National Office of NAME and Regional Representatives
$50 annual dues
Shop Name_______________________________________________________________
Contact Name_____________________________________________________________
Address_________________________________________________________________
City/State/Zip+4___________________________________________________________
Telephone________________________________________________________________
Shop Hours_______________________________________________________________
E-mail___________________________________________________________________
Web URL________________________________________________________________
E-mail NAME web site ad copy & logo (no larger than 300
x 60 .GIF or .JPG) to
NAME Webmaster: bsteinke@bjminis.com
___ Storefront ___Mail Order ___Both