Membership Application
Your Name
*
First Name
Last Name
Contact Number
*
Which best describes you?
*
Small Business
Home Based Business
Citizen (Individual Supporting Member)
School Districts / Education / Government
Utilities / Financial Institutions
Non-Profit Organization (Non-Profit Tax ID)
Retail Franchise / Warehouse / Corporation / Developers
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Company Application
Your Mailing Address
Company Name
*
Company Number
*
EIN Number
*
Business Email
*
example@example.com
Business Address
Street Address
Street Address Line 2
City
State
Zip Code
Is Your Mailing Address Different?
*
YES
NO
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Type
*
Contractor
Food or Drink
E-commerce
Education
Government
Manufacturing & Distribution
Marketing/Media
Non-profit
Retail Store Front
Restaurant
Service Based
Software/Technology
Utilities
Other
Your Business Description
*
Please provide at least a brief description
Link To Your Website
Attach Your Company Logo
Browse Files
Include a photo of logo to compliment your business description!
Cancel
of
501c3 Paperwork
*
Browse Files
Cancel
of
Want to get your socials out there?
Meta/Facebook URL
Instagram URL
Twitter URL
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Memberships Categories
Please select your category from below
My Products
*
Categories:
All
All
Business
Home Based Business
Individual (Supporting Member)
Non-Profit Organization (Non-Profit Tax ID)
School Districts / Government
Utilities / Financial Institutions
Retail / Warehouse / Corporations / Developers
(Optional) Add Additional Locations To Be Listed
Processing Fee
Would you like to upgrade to a Sustaining Member?
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( X )
Business
1-5 Employees or Individual Realtor
$
150.00
6-10 Employees
$
195.00
11-19 Employees
$
225.00
20+ Employees
$
355.00
Home Based Business
Home Based Business
$
130.00
Individual (Supporting Member)
Individual (Supporting Member)
$
75.00
Non-Profit Organization (Non-Profit Tax ID)
Non-Profit Tax ID
$
75.00
School Districts / Government
School Districts / Government
$
225.00
Utilities / Financial Institutions
Utilities / Financial Institutions
$
355.00
Retail / Warehouse / Corporations / Developers
Retail / Warehouse / Corporations / Developers
$
525.00
(Optional) Add Additional Locations To Be Listed
+1 Additional Location
$
100.00
+2 Additional Locations
$
200.00
+3 Additional Locations
$
300.00
+4 Additional Locations
$
400.00
+5 Additional Locations
$
500.00
Processing Fee
$
25.00
Would you like to upgrade to a Sustaining Member?
$
1,000.00
Our Sustaining Membership costs $1,000 per year and includes your Annual Membership Fee, plus 2 seats to the State of the City Luncheon, Economic Forecast Event, Citizen of the Year Dinner, Every Good Morning Beaumont and advertising on every flyer and media. (If yes, select only this membership option)
Enter coupon
Apply
Total
$
0.00
Credit Card
Additional Business Locations
Additional Location #1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #3
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #4
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #5
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Did you select the correct category that defines your membership type?
*
YES
Failure will result in a second processing charge to correct any mistakes.
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I
First Name
Last Name
have provided accurate information and authorize the payment by the card provided.
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