ACA, New England Business Membership Application

ACA, New England Business Membership Application

ACA, New England's Business Membership is for businesses and consultants who work with summer camps.
Company Information
Company Name
If you are a consultant and don't have a company name, feel free to list your name here.
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Website
If you are a consultant and this is N/A, please just leave blank.
I am applying for the following category of membership:
Contact Information for Back-End Communication

ACA, New England will send all program information, billing, and internal updates to this point person
Primary Contact Name

First NameLast Name
Primary Contact Job Title
Primary Contact Phone Number (direct line to reach person above)
Primary Contact Email Address
example@example.com
Listing Information For Website/External Materials

This information may be used on website/external facing information and communications.
Is the name and email listed above for your primary contact the SAME information that should be listed on the website/external facing materials for your company?
Company Representative Name

First NameLast Name
Email Address for Company Listing
Phone Number for Company Listing
Product/Service Category [Select UP TO 2]
Please share up to 4 categories/topics you provide training/consulting to camps on:
If you don't feel your product/service adequately fits into the options listed above, please share a category that you feel we should include as an option for you and we will consider adding it.
Payment is due at this time. I will make my payment by:

Other (select if you have trouble submitting your credit card, etc.)
As an ACA, New England Business Member, our company and its representatives agree to to conduct ourselves in an ethical, professional manner in accordance with the highest standards.
I understand that my business membership is NON-REFUNDABLE through the program period.

Payment is due immediately. Business membership benefits will only be activated once payment is received.

Introductory ACA, New England Business Member Fee

Available through June 30, 2026. After that, fees will increase to $399. The initial member period runs through August 31, 2027. Following that, memberships will be valid from September 1 - August 31.

$350.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

If you receive a credit card error message when submitting your form, you need to refresh and start over again (or exit your browser and start over). Hitting the back button will not resolve the issue.

If you're unable to get your credit card to work, select "other" in the I will make my payment by... and type please call me for payment at XXX-XXX-XXXX. Then, submit your form. Thank you.
Amount Paid
Name of Person Completing this Application

First NameLast Name
Signature
Date

MonthDayYear
Date
Should be Empty:

ACA, New England Business Membership Application

Company Information

Contact Information for Back-End Communication

Listing Information For Website/External Materials