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Manassas OTBA - Membership Application

To Join OTBA
  1. fill in the form below
  2. print out the form
  3. mail-in with your membership dues
Annual membership dues are $125.
       Mail to:
       Old Town Business Association
       P.O. Box 265
       Manassas VA 20108


Business Name:

Business Address Line 1:
Business Address Line 2:

Mailing Address Line 1:
Mailing Address Line 2:

Phone:     Fax:

Business Hours:

Contact Person:

Email Address:

Please give a brief description of your business:
(Description may be edited for the Shops and Services Guide)

After this form is filled in, Click Print on your computer tool bar and Mail it with your membership dues to:
Old Town Business Association
P.O. Box 265
Manassas VA 20108