Membership Application Form

Logan business association Membership Application

To apply for membership please complete all questions.
Which type of membership are you applying for?
Business Name (Will be listed publicly)
Owner Name

First NameLast Name
Physical Address (Will be listed publicly)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Does the business or non-profit own or lease the building?
If you lease, who is the owner of the building?
E-mail
example@example.com
Cellular Number
Format: (000) 000-0000.
Business Number (Will be listed publicly)
Format: (000) 000-0000.
Billing Adress
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business License: (If applying for business membership, please supply a copy of your current business license. Non-profits, please supply any federal or state document showing your location address. Building owners, please supply any supporting document to show your name and the physical address of the building.

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Information for the LBA Website:

Please supply as much information as possible. This section is for Business Memberships and Non-Profit Membership.
Brief Description of the business or non-profit.
Website URL
Facebook URL
Instagram URL
TikTok URL
X (Twitter) URL
Logo: Please supply the largest jpg or png you have of your logo.

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Once your application is submitted, it will be reviewed by the board of directors for approval. This happens once a month. If approved, you will receive a welcome email with a link to pay your membership fee if that applies. Should you have any questions, you can contact 304-896-2565 or email us at loganbusinesseswv@gmail.com.
Date of Signature

MonthDayYear
Date
Signature
Should be Empty:

Logan business association Membership Application

Information for the LBA Website: