November 2016 NICA News
Featuring Member’s Voice with Frank Boeck, D & F Enterprises, Daniel McLean, Almond Garten, Carmel Dyer-Pittroff, The Original Australian Battered Potatoes, Todd Lavigne, Awesome Apple Crisp, and Theresa Johnson, All American Restaurant & Grill, Thoughts from a CCE withLarry McConnell, CCE, McConnell Concessions, Concessionaire Spotlight with Tom Frazee, Frazee's Concessions, President's Message with Paulette Keene, Director's Voice with Joe Potillo, Jr., Card's Corner with Michelle Card, Executive Director, and much more!
Featuring Member’s Voice with Frank Boeck, D & F Enterprises, Daniel McLean, Almond Garten, Carmel Dyer-Pittroff, The Original Australian Battered Potatoes,
Todd Lavigne, Awesome Apple Crisp, and Theresa Johnson, All American Restaurant & Grill, Thoughts from a CCE withLarry McConnell, CCE, McConnell Concessions, Concessionaire Spotlight with Tom Frazee, Frazee's Concessions, President's Message with Paulette Keene, Director's Voice with Joe Potillo, Jr., Card's Corner with Michelle Card, Executive Director, and much more!
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National Independent Concessionaires Association, Inc.<br />
1043 E. Brandon Blvd., Brandon, FL 33511<br />
Phone: 813-438-8926 • Fax: (813)438-8928<br />
Email: nica@nicainc.org • Website: www.nicainc.org<br />
Date:<br />
#:<br />
For Office Use Only<br />
MEMBERSHIP APPLICATION<br />
q Mr. q Mrs. q Ms. First: Last:<br />
Name of business:<br />
Physical address: City : State: Zip:<br />
Mailing address: City : State: Zip:<br />
Primary Phone Number : Alternate / Cell phone number :<br />
Email:<br />
Website:<br />
How would you like to receive your <strong>NICA</strong> <strong>News</strong>? q Mail q Email Would you like to advertise? q Yes q No<br />
Referred by:<br />
Fill out the information below as ACCURATELY, detailed, and complete as possible. Information provided below will be<br />
used for your entry in the annual <strong>NICA</strong> Membership Directory and as keywords to search for your business on the <strong>NICA</strong> website.<br />
Annual Membership Fees<br />
Independent Concession Membership<br />
Voting:<br />
q Independent Concessionaire............................................$125<br />
q Additional Member...............................................................$75<br />
Non-Voting:<br />
q Employee................................................................................$50<br />
q Retired....................................................................................$50<br />
Concession Business / Group Membership<br />
Includes five memberships in one: one Independent Concessionaire, one<br />
Additional Member, and three Employee Members ($350 value).<br />
q Concession Business / Group..........................................$300<br />
Additional Member : _________________________________________<br />
Employee Member 1: ________________________________________<br />
Employee Member 2: ________________________________________<br />
Employee Member 3: ________________________________________<br />
Check a category below and provide a detailed description of your<br />
company’s services below:<br />
q Commercial Exhibitors / Retail q Food<br />
q Attractions / Entertainment q Games<br />
q Services<br />
Concessionaire General Routing Information<br />
List all states / provinces where you conduct your concession business:<br />
_____________________________________________________________<br />
_____________________________________________________________<br />
Fairs and Festivals<br />
List three Fairs or Festivals worked in the past year :<br />
1. __________________________________________________________<br />
2. __________________________________________________________<br />
3. __________________________________________________________<br />
I understand that my application is subject to final approval by the<br />
<strong>NICA</strong> Board of Directors. I also understand that if my application is<br />
not accepted, the amount paid will be refunded to me. If accepted for<br />
membership in <strong>NICA</strong>, I hereby agree to abide by its by-laws and rules.<br />
Applicant’s signature<br />
Date<br />
Associate Membership<br />
A person or entity who provides services to the concession industry.<br />
q Fair / Festival over 75,000 attendance.......................... $125<br />
q Fair / Festival under 75,000 attendance...........................$75<br />
q Manufacturer / Distributor / Supplier............................ $125<br />
q Carnival / Circus Operator................................................ $125<br />
q Special Services................................................................ $125<br />
Business Description<br />
Provide a detailed description of your business, products, and/or services<br />
below:<br />
________________________________________________________________<br />
________________________________________________________________<br />
________________________________________________________________<br />
________________________________________________________________<br />
________________________________________________________________<br />
________________________________________________________________<br />
Mail Check or Money Order to <strong>NICA</strong>’s office at<br />
1043 E. Brandon Blvd. Brandon, FL 33511<br />
q Visa q Mastercard q American Express q Discover<br />
Credit Card #:<br />
Security Code:<br />
TOTAL:<br />
Expiration Date:<br />
Signature of Credit Card Holder<br />
I authorize <strong>NICA</strong> to charge the agreed amount listed above to my credit<br />
card provided herein. I agree I will pay for this purchase in accordance<br />
with the issuing bank cardholder agreement.<br />
The <strong>NICA</strong> sponsored $10,000 Accidental Death and Dismemberment Insurance<br />
Policy is automatically provided to all Independent Concessionaire Members.<br />
Beneficiary ________________________________________ Phone ___________________
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