NHBA Application

Member Application
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
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
Industry Type
If Other - please describe
Include Business License or Non-Profit Certificate

Cancelof
Membership Category
Is Your Business Located in North Huntsville District 1?
General: Business located in North Huntsville District 1
Connecting Communities: Business located outside North Huntsville District 1
Please contact us with any questions:
North Huntsville Business Association
(256) 326-6941
Should be Empty:

Member Application