Contact Person's Name:
Company name:
Street Address / PO Box #:
City:	State: Zip:
Phone #:	Fax #:
E-mail Address:
Please select membership category below and make payable to: Downtown Omaha, Inc., 1905 Harney Street, Suite #610, Omaha, NE 68102 Corporate Partner - $1,500.00 (Logo included) Large Business - $300.00 (50 or more employees) Small Business - $150.00 (50 or fewer employees) Resident or Sole Owner/Operator Business - $60.00
To pay via a credit card, please check the following box. The DOI office will contact you for your credit card information Pay via a credit card (The DOI office will contact you.)