Membership Renewal

Membership Renewal

Please complete the following form so we can update our database and make sure the online directory is up-to-date. If your logo has changed, please upload a new one.
Name*

First NameLast Name
Business Name:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Website
http://example.com
Upload your Logo

Cancelof
Annual Membership Renewal*
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Annual Membership Renewal$150 Fee + $3.50 Online Convenience Fee
$153.50 for each year
By clicking submit, you are authorizing the Ghent Business Association (a.k.a. 21st Street Area Business Association) to charge your credit card for your annual membership. Your membership will automatically be renewed on your anniversary date next year unless you cancel your membership prior to that date.
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