2025 CSMA Member Application
Email *
Business Name (this is how you will be listed in the directory) *
Business Address (directory listing) *
Business Category (directory listing) *
Website (directory listing) *
Social Media (directory listing) *
Business Phone (directory listing) *
Month and Year Opened *
Primary Contact (CSMA member) *
Primary Contact Email (CSMA will send communications here) *
Primary Contact Phone # (contact # for CSMA and other merchants) *
Check all the topics you would like to follow. By checking these boxes, you consent to be added to a topic-based email distribution list. *
Required
Are you interested in becoming a block captain or committee participant? *
Are you interested in Preferred Sponsorship opportunities for community events, etc? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms