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Enrollment Form/Invoice for Participation in
California Countryside™ Coalition

This form is for use only by non-profit Destination Marketing Organizations
located in a rural region of California.

Please fill out the text boxes below and after completion, please print and mail with your payment.

Note: Please make a photocopy of the completed form; this will serve as your invoice.

Name of Contact
Title
Organization
Address
City/Town
County
Zip
Tel
Fax
Email
Website Address
California Tourism Region
 

Please indicate investment level below, based on total operating budget.
Please keep a photocopy of the completed form; it is your invoice.

DMO Operating Budget Investment
under $ 500,000 $ 500 per year
$ 500,000 to $ 999,000 $ 750 per year
$ 1 million to $ 1.5 million $ 1,000 per year
$ 1.5 million to $ 2 million $ 1,500 per year
$ 2 million or more $ 2,000 per year
Plus    
One Time Set Up Fee $250


Enclosed is a check, payable to California Countryside™,
for $
for participation in the current calendar year.

Please mail check and completed form to:

California Countryside™
c/o The Fontayne Group
P. O. Box 11415
Marina del Rey, CA 90295