On-line Membership Application

* Required fields
Business name*
Address*


Show address on website member detail record?
yes (leave unchecked for no website display)
Business phone number*
  must type separators xxx-xxx-xxxx
Toll Free phone number
  must type separators xxx-xxx-xxxx
Fax number
  must type separators xxx-xxx-xxxx
Contact name
Position
(i.e. owner/manager)
Contact number
E-mail address
Website address
Other website address
Company slogan (100 characters)

About your company

(will appear below name/address on your member page)
This should be a summary of about one or two sentences

Company Biography

(will be viewable on your member page upon scroll down)
This can be more detailed. About three or four paragraphs.
When attaching graphic files, please avoid using generic names (logo.jpg, banner.jpg ...) It is suggested to add a unique set of characters to the beginning of the file name. (i.e. company initials)
Attach banner graphic file

(728 x 90 or close to) .gif, .jpg, .bmp, or .png *other sizes may cause distortion
Attach logo

(180 x 180 or close to) .gif, .jpg, .bmp, or .png *other sizes may cause distortion
Attach Alternate Picture

.gif, .jpg, .bmp, or .png
Number of Employees
Business category
User Name*


(for member login)

Password*
Confirm Password*

 


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