Guadalupe Business Association Annual Renewal Form
Thank you for renewing your membership!
Company Name
Primary Contact Name
*
First Name
Last Name
Primary Contact Position
Contact E-mail
*
example@example.com
Primary Contact Phone Number (not published)
*
Secondary Contact Name (optional)
First Name
Last Name
Secondary Contact Position
Secondary Contact E-mail
example@example.com
Secondary Contact Phone (not published)
3rd Contact Name (optional)
First Name
Last Name
3rd Contact Position
3rd Contact E-mail
example@example.com
3rd Contact Phone (not published)
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business E-mail
example@example.com
Main Business Number
Toll Free Number
Type of Business
Please Select
Art
Education
Goverment
Health Care
Real Estate
Restaurants
Retail
Technology
Other
Describe Other
What Social Media accounts do you have?
Facebook
LinkedIn
Instagram
Twitter
Pinterest
YouTube
Other
Would you like your contact shared with the rest of the GBA?
Yes
No
Would you like your contact information shared in the public directory?
Yes
No
What Membership Level are you applying for?
*
Basic - $100/year - For Non Profits / Individuals
Basic - $150/year - Small Business (2-10 Employees / Owners)
Basic - $250/year - Mid-size Business (11-30 Employees)
Basic - $350/year - Large Business (31+ Employees)
Prime - $190/year - For Non Profits / Individuals
Prime - $285/year - Small Business (2-10 Employees / Owners)
Prime - $475/year - Mid-size Business (11-30 Employees)
Prime - $665/year - Large Business (31+ Employees)
Let us know what you would like us to focus on this coming year:
I will pay annual membership fees by
*
Check
Credit Card
Payments by check should be made to:
Guadalupe Business Association
PO Box 685
Guadalupe, CA 93434
Submit Application
Membership Levels
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next
( X )
Basic - For Non Profits / Individuals
$
100.00
for each
year
Basic - Small Business (2-10 Employees / Owners)
$
150.00
for each
year
Basic - Mid-size Business (11-30 Employees)
$
250.00
for each
year
Basic - Large Business (31+ Employees)
$
350.00
for each
year
Prime - For Non Profits / Individuals
$
190.00
for each
year
Prime - Small Business (2-10 Employees / Owners)
$
285.00
for each
year
Prime - Mid-size Business (11-30 Employees)
$
475.00
for each
year
Prime - Large Business (31+ Employees)
$
665.00
for each
year
Credit Card
Submit Application
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