KBA - Member Application

The Killingly Business Association is open to any business or organization in Killingly, CT, or which services the community of Killingly, CT. Joining KBA allows member businesses to access to a united forum to voice and be heard as well as numerous programs and benefits.

All membership renewals processed between now and the end of the year will apply to your 2025 membership dues. [new memberships pro-rated $10/month beginning in March]

Type of Member*

New MemberExisting Member - Renewal

Month of Application Submission*

1 year membership or 2?*

1 year membership ($120)2 year membership ($220 - save $10 per year!)

MEMBERSHIP COST

**pro-rated membership**
Annual Membership runs from January 1 to December 31 – and is pro-rated $10/month beginning in June.

Please review your current listing at www.killinglyba.org/directory*

YES - our directory listing is accurateNO - updates are needed to our listing

Please detail the changes needed.

Business/Organization Name*

Year Established*

Business Email Address*

example@example.com

Business Phone Number*

Website / Social URL*

Upload Business Logo

jpg, jpeg, png, gif

Is your physical address the same as your mailing address?*

YESNO

Business Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please select up to 2 categories for your business;*

DO YOU HAVE A SECOND BUSINESS THAT YOU WOULD ALSO LIKE TO REGISTER OR RENEW? Second businesses registered by the same owner receive half off membership price when registered at the same time as the first business. (If you already have registered a business and would like to add a second at a later time, please contact the KBA at info@killinglyba.org.)

Yes

Second Business: Type of Member*

New MemberExisting Member - Renewal

Second Business: Month of Application Submission*

Second Business: 1 year membership or 2?*

1 year membership ($60)2 year membership ($110 - save $5 per year!)

SECOND BUSINESS MEMBERSHIP COST

**pre-rated membership**
Membership will be pre-rated for 2024-membership period. Annual Membership runs from January 1 to December 31.

Second Business: Please review your current listing at www.killinglyba.org/directory*

YES - our directory listing is accurateNO - updates are needed to our listing

Second Business: Please detail the changes needed.

Second Business/Organization Name*

Second Business: Year Established*

Second Business: Email Address*

example@example.com

Second Business: Phone Number*

Second Business: Website / Social URL*

Second Business: Upload Business Logo

jpg, jpeg, png, gif

Second Business: Is your physical address the same as your mailing address?*

YESNO

Second Business: Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Second Business: Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Second Business: Please select up to 2 categories for your business;*

Please select a committee to participate in;

MembershipEvents & FundraisingBeautificationMarketing & Advertising

KBA-Primary Contact*

First NameLast Name

Phone Number*

Email Address*

example@example.com