Roller Skating Association International

Future Operator Membership Application

Future Owner/Operator Information

Name *
Phone *
Mailing Address *
City *
State *
Zip *
Shipping Address same as Mailing *
Shipping Address *
City *
State *
Zip *
Email *

Stage of Business Plan

Gathering information for business plan
Starting business plan
Completed business plan, looking for funding
Have funding, looking for property
Purchased property, getting ready to build
Looking for existing business to purchase
Negotiating purchase of existing business
Please note: There is a 4% processing fee for all credit card transactions.

Payment Information

Amount for Membership: $500

Credit Card Type *
Credit Card Number *               
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.