Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

CBC Offer:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram TikTok Pinterest YouTube

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram TikTok Pinterest YouTube

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram TikTok Pinterest YouTube

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Tier 1: $100.00
Individual member not representing a business Tier 2: $155.00
Business with 1-4 employees Tier 3: $235.00
Business with 5-19 employees Tier 4: $475.00
Business with 20-49 employees Tier 5: $675.00
Business with 50-199 employees Tier 6: $850.00
Business with 200+ employees Non Profit A: $100.00
Operating budget less than $100K Non Profit B: $155.00
Operating budget greater than $100k Non Profit C: $235.00
Operating budget greater than $1 million

Additional Fees:

Enhanced Directory Listing : $25.00
Enhanced Listing (a basic listing is included with your dues)

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address