Guadalupe Business Association

Guadalupe Business Association Annual Renewal Form

Thank you for renewing your membership!
Company Name
Primary Contact Name*

First NameLast Name
Primary Contact Position
Contact E-mail*
example@example.com
Primary Contact Phone Number (not published)*
Secondary Contact Name (optional)

First NameLast Name
Secondary Contact Position
Secondary Contact E-mail
example@example.com
Secondary Contact Phone (not published)
3rd Contact Name (optional)

First NameLast Name
3rd Contact Position
3rd Contact E-mail
example@example.com
3rd Contact Phone (not published)
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business E-mail
example@example.com
Main Business Number
Toll Free Number
Type of Business
Describe Other
What Social Media accounts do you have?

FacebookLinkedInInstagramTwitterPinterestYouTubeOther
Would you like your contact shared with the rest of the GBA?

YesNo
Would you like your contact information shared in the public directory?

YesNo
What Membership Level are you applying for?*

Basic - $100/year - For Non Profits / IndividualsBasic - $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 / IndividualsPrime - $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*

CheckCredit Card
Payments by check should be made to:

Guadalupe Business Association
PO Box 685
Guadalupe, CA 93434

Membership Levels

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

Total

$0.00

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Should be Empty:

Guadalupe Business Association Annual Renewal Form

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