Member Application Business Information Company Name: * Leave Blank: Phone: * Website: * Email: * Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Accountants, Certified Public Alcohol & Drug Rehabilitation Apartments & Townhomes Apparel Architects Art and Wine Art Galleries, Instruction, Framing & Prints Art, Consultant, Appraiser Art, Consultant, Appraiser Art: Galleries/Instruction Attorneys Auto Detailing Automobile Dealers; Automobile Services Automobile Repair/Services Automobile Towing Banking & Banking Associations Banking Institutions Barber Shops Beauty Beauty Services Beverages Boats, Charter/Tours Book Stores Breweries Caterers Chiropractic Services Churches Clubs, Organizations, Non-Profit Associations Clubs, Organizations, Non-Profit Assocs Coaching, Training Coffee Shops, Roasters, Distributers, Services Coin Shop Commercial Art & Framing Communication Services Computer Sales & Services Computer Services Consultant Consultants Consultants - Business Marketing & Sales Consultants ? 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Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Title: Phone: * Fax: Email: * Contact Preference: Email Phone Login: * Password: * Billing Contact Information Same as Primary Contact First Name: Last Name: Title: Phone: Fax: Email: Contact Preference: Email Phone Login: Password: Membership Options Membership Package: * Small Business Membership 1: $325.00 For businesses with 1-3 employees (full-time). Small Business Membership 2: $385.00 For businesses with 4-6 employees (full-time). Small Business Membership 3: $425.00 For businesses with 7-10 employees (full-time). Small Business Membership 4: $520.00 For businesses with 11-15 employees (full-time). Mid-Size Business Membership 1: $550.00 For businesses with 16-20 employees (full-time). Mid-Size Business Membership 2: $675.00 For businesses with 21-30 employees (full-time). Mid-Size Business Membership 3: $825.00 For businesses with 31-40 employees (full-time). Mid-Size Business Membership 4: $1,000.00 For businesses with 41-60 employees (full-time). Corporate Membership 1: $1,400.00 For businesses with 61-80 employees (full-time). Corporate Membership 2: $1,800.00 For businesses with 81-100 employees (full-time). Corporate Membership 3: $2,000.00 For businesses with 100+ employees (full-time). Nonprofit Membership: $165.00 Membership fee for 501(c)3 organizations and individual community members (non-business). Additional Fees: Processing Fee : $30.00 $30 Membership Application Processing Fee Payment Option: Bill me Charge my credit or debit card Print Application
