Renewal Application
Your Name
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
What type of business are you?
*
Small Business
Home Based Business
Citizen (Individual Supporting Member)
School Districts / Education / Government
Utilities / Financial Institutions
Non-Profit Organization (Non-Profit Tax ID)
Retail Franchise / Warehouse / Corporation / Developers
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Contact Info
Your Mailing Address
Company Name
*
Company Number
*
Do you need to update your business address?
*
Please Select
YES
NO
New Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
501c3 Paperwork
*
Browse Files
Cancel
of
Want to get your socials out there?
Meta/Facebook URL
Instagram URL
Twitter URL
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Memberships Categories
Pick only one category.
*
Categories:
All
All
Business
Home Based Business
Individual (Supporting Member)
Non-Profit Organization (Non-Profit Tax ID)
School Districts / Government
Utilities / Financial Institutions
Retail / Warehouse / Corporations / Developers
(Optional) Add Additional Locations To Be Listed
Would you like to upgrade to a Sustaining Member?
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next
( X )
Business
1-5 Employees or Individual Realtor
$
160.00
6-10 Employees
$
205.00
11-19 Employees
$
235.00
20+ Employees
$
380.00
Home Based Business
Home Based Business
$
140.00
Individual (Supporting Member)
Individual (Supporting Member)
$
85.00
Non-Profit Organization (Non-Profit Tax ID)
Non-Profit Tax ID
$
85.00
School Districts / Government
School Districts / Government
$
235.00
Utilities / Financial Institutions
Utilities / Financial Institutions
$
380.00
Retail / Warehouse / Corporations / Developers
Retail / Warehouse / Corporations / Developers
$
555.00
(Optional) Add Additional Locations To Be Listed
+1 Additional Location
$
100.00
+2 Additional Locations
$
200.00
+3 Additional Locations
$
300.00
+4 Additional Locations
$
400.00
+5 Additional Locations
$
500.00
Would you like to upgrade to a Sustaining Member?
$
1,100.00
(If yes, select only this membership option) Our Sustaining Membership costs $1,000 per year and includes your Annual Membership Fee, plus 2 seats to the State of the City Event, Citizen of the Year Event, Every Good Morning Beaumont Breakfast, and advertising on select flyers and media.
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Additional Business Locations
Additional Location #1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #3
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #4
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Location #5
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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I {yourName74}, have provided accurate information and authorize the payment by the card provided.
Signature
*
Submit
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