BAF membership form

Black Achievement Fund Business Membership Application

Thank you for your interest in becoming a BAF Business member. Please Note: You must also be a BAF individual member to become a BAF Business Member. Your yearly Business Membership contribution will automatically renew each year. Thank you for your support. All contributions are 100% tax deductible.
BAF Business Member Benefits Include:

- A BAF Business Member Certificate and t-shirt

- Exclusive marketing and advertising on all BAF media platforms including email, Facebook, Instagram and Youtube.

- 1 free rental Kemet Club rental.

- Access to a network of Black business professionals including lawyers, accountants, general contractors, doctors, graphic designers, web developers, etc., realtors, mortgage brokers, grant writers and more!

- New & Enhanced Opportunities: Priority Referrals: Get priority consideration when BAF staff or members seek your services. Marketing Spotlight: Opportunities to be featured in BAF's member newsletters and social media. Exclusive Networking: Access to special B2B events designed just for Black List members . Community Partnership: Direct opportunities to collaborate with BAF on community initiatives.
Date

MonthDayYear
Name of Business Owner/Contact Person*

First NameLast Name
Do you already have a BAF individual membership?*

YesNo
Name of Business*
Where did you hear about us?*

Referred by a BAF Member or RepresentativeDr. Ray Hagins/The Afrikan VillageBAF Kemet ClubFreedom Georgia InitiativeYoutubeInstagramFacebookTwitterBAF yard/campaign signBumpersticker/flyerOther
Name of BAF member/Representative*

First NameLast Name
Race of Business Owner*
Is the business majority Black owned?*

YesNo
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*
(000) 000-0000
Business Email*
example@example.com
Email of Business Owner/Contact Person*
example@example.com
In addition to email, can we text you member updates/notifications*

YesNo
Size of Business

less than $250,000 in annual revenue$250,000 - $1 million in annual revenue$1+ million in annual revenue
Business type/description:*
(i.e. barbershop, business attorney, carpenter, marketing firm, tax service)
Business License Number & State

Business License Number (EIN)State
Year Established*
Service Area*
Business Website*
Business Social Media Links

Youtube

Facebook

InstagramTwitter

Tik Tok
Please list any discounts that you will offer BAF members?
Upload your business logo

Browse Files

Cancelof
What t-shirt size would you like?

SmallMediumLargeXLarge2XL
How will you get the most out of your BAF membership?*

Financial ContributorOffering Time and MoneyDisplaying Leadership, Promoting Membership & Fundraising
What skills & strenghts do you offer to BAF?
Please express areas of interest in BAF Program Departments

REAL ESTATE DEVELOPMENT & INVESTMENTEducationFarming & AgricultureSmall BusinessHealth & WellnessBanking & Financial ServicesManufacturing & TransportationCulture & CommunityGrants & ScholarshipsInternational AffairsSpecial InitiativesMembership & Volunteer
How can BAF fulfill your growth, success, prosperity and dreams?

My Products*

BUSINESS MEMBERSHIP $250 (less than $250,000 in annual revenue)($250.00 for each year)

BUSINESS MEMBERSHIP $500 ($250,000-$1 million in annual revenue)($500.00 for each year)

BUSINESS MEMBERSHIP $1,000 ($1+ million in annual revenue)($1,000.00 for each year)

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

All credit/debit card transactions are securely processed with STRIPE merchant solutions.
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Black Achievement Fund Business Membership Application