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BECOME A MEMBER
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Apply Now to Become a Member of The NSLBA
“We advocate for the small business owner in front of City and State officials. We help resolve conflicts, assist in compliance with regulations and provide access to legal and business resources”
NEW MEMBER / NUEVO MIEMBRO
NEW MEMBER / NUEVO MIEMBRO
RENEW / RENOVACION
RENEW / RENOVACION
DATE / FECHA
BUSINESS NAME / NOMBRE DE NEGOCIO
BUSINESS ADDRESS / DIRECCION DE NEGOCIO
CITY/CIUDAD
STATE/ESTADO ZIP
CODE/CODIGO POSTAL
BUSINESS TELEPHONE
BUSINESS WEBSITE
PRIMARY CONTACT PERSON / PERSONA DE CONTACTO PRINCIPAL
NAME/NOMBRE
TEL/CELL
EMAIL
DATE BUSINESS ESTABLISHED / FECHA QUE INICIO EL NEGOCIO
SOLE PROPRIETOR/UNICO PROPIETARIO
SOLE PROPRIETOR/UNICO PROPIETARIO
PARTNERSHIP/SOCIEDAD
PARTNERSHIP/SOCIEDAD
CORPORATION
CORPORATION
S CORP
S CORP
BUSINESS INDUSTRY/CATEGORIA DE NEGOCIO
SECONDARY CONTACT PERSON / PERSONA DE CONTACTO SECUNDARIO
NAME/NOMBRE
ADDRESS/DIRECCION
CITY/CIUDAD
ZIP CODE
EMAIL
TELL/CELL
MEMBERSHIP FEE PER YEAR / CUOTA DE MEMBRESIA POR AÑO (Select One/Seleccione Uno)
NUMBER OF EMPLOYEES/NUMERO DE EMPLEADOS:
GENERAL MEMBERSHIP/MEMBRESIA GENERAL: $250.00
GENERAL MEMBERSHIP/MEMBRESIA GENERAL: $250.00
BUSINESS WITH 21-49 EMPLOYEES/NEGOCIO CON 21/49 EMPLEADOS: $500.00
BUSINESS WITH 21-49 EMPLOYEES/NEGOCIO CON 21/49 EMPLEADOS: $500.00
BUSINESS WITH 50-100+ EMPLOYEES/NEGOCIO CON 50-100+ EMPLEADOS: $1,000.00
BUSINESS WITH 50-100+ EMPLOYEES/NEGOCIO CON 50-100+ EMPLEADOS: $1,000.00
PROFESSIONAL (NO EMPLOYEES)/PROFESIONAL (NO EMPLEADOS): $125.00
PROFESSIONAL (NO EMPLOYEES)/PROFESIONAL (NO EMPLEADOS): $125.00
NON-PROFIT/ORGANIZACIONES SIN FINES DE LUCRO: $150.00 - Must submit IRS Non-Profit status/Debe someter carta de IRS estatus ONG
NON-PROFIT/ORGANIZACIONES SIN FINES DE LUCRO: $150.00 - Must submit IRS Non-Profit status/Debe someter carta de IRS estatus ONG
By signing this application, you are accepting to become a member of the NORTH SHORE LATINO BUSINESS ASSOCIATION / Firmando esta aplicacion usted esta aceptando ser miembro de la ASOCIACION DE COMERCIANTES NORTH SHORE
SIGNATURE / FIRMA
DATE / FECHA
PAYMENT METHOD / METODO DE PAGO
CHECK
CHECK
CREDIT/DEBIT CARD
CREDIT/DEBIT CARD
CASH
CASH
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