Berks-Mont Business Association, Inc. Membership Application Name of Business: Member Name: Address 1: Address 2: City: State: Zip Code: Phone Number: Fax Number: Email Address: Website URL: How did you hear about us? Please provide any additional comments, suggestions, or questions:   ** Dues are $85 for first year and $75 every year after   Send bill to the address above *Please type this text:   Breakfast Meetings 7/7/2010   7:00 A.M. Boyertown Salvation Army Building, South Reading Avenue Business Forum 7/21/2010   11:30 AM M&T Bank - Boyertown Mixer Events 9/14/2010   4:30 PM Serenity Junction Business Expo 11/5/2010   Shadowing Day 5/18/2011   Sidewalk Expo 6/15/2011   10:00 A.M. Philadelphia Avenue, Downtown Boyertown Ehst Custom Kitchens Inc Dennis Weller Phone: 610-367-2074 Fax: 610-369-0939 HealthSouth Rehabilitation Center of Boyertown Bonnie Reynolds Phone: (610) 369-0058 Email: bonnie.reynolds@healthsouth.com Website: http://www.healthsouthreading.com/ Manatawny Land Transfer Charles E. Fryer Phone: 610-369-0303 Fax: 610-369-0307 Email: crfyer@manatawnyland.com

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