NHBA Application

Member Application
Date*

MonthDayYear
Business Name*
Business Website URL*
Primary Contact *
Title*
Cell Phone Number*
Format: (000) 000-0000.
Email*
Address*

Street Address Line 2
Secondary Contact
Title
Cell Phone Number
Format: (000) 000-0000.
Email
Brief Description of Business*
TechnologyServicesEducation/TrainingLegalMedicalHospitalityRestaurant/Food TruckOther
If Other - please describe
Include Business License or Non-Profit Certificate*

Cancelof
Membership Category
Is Your Business Located in North Huntsville District 1?
Emerging Business - Under 50 employees: $150Business Achiever - Over 50 employees: $300Affiliate - $350
Non-Profit/Associate: $250Business Associate/Affiliate: $350
Please contact us with any questions:
North Huntsville Business Association
(256) 326-6941
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Member Application