Business Name ("N/A" if you're joining as a Friend.)

Representative's Title ("N/A" if you're joining as a Friend.)

Second Representative's Email (This address will be manually added to our Mailchimp list.)

Membership Class

Description of Business & Services (This information may be copied and pasted directly into publications of the Denver North Business Association, so please ensure it reads the way you'd like. Enter "N/A" if you're joining as a Friend.)

Year Business was Established ("N/A" if you're joining as a Friend.)

Registration ID Number with Colorado Secretary of State ("N/A" if you're joining as a Friend.) This is likely an 11-digit number found at http://www.sos.state.co.us/biz/BusinessEntityCriteriaExt.do?resetTransTyp=Y

Structure of Business

The majority of my customers/clients are

Please list up to three (3) workshop topics that would most benefit your business. Workshop Topic 1:

Workshop Topic 2:

Workshop Topic 3:

As a Denver North Business Association member, I'm most concerned about:

Email Address

Website (Please provide direct, copied link.)

http://

Facebook (Please provide direct, copied link.)

http://

By becoming a member of the Denver North Business Association, I agree to allow my email address to be subscribed to the Association's email distribution service (currently MailChimp) to receive e-newsletters and other communications from the Association. (Your email address is not visible to other subscribers.)

By becoming a member of the Denver North Business Association, I agree to receive any communications and notifications, including those for Members' Meetings, electronically.

I give my permission to the Denver North Business Association to share the contact information provided herein with other Association members upon request.

I give my permission to the Denver North Business Association to share the contact information provided herein and links to our business' website and any social media accounts on the Association's website, through its social media activities, and in any electronic and printed publications.

Anything else you'd like to share?

I will be paying my dues:

I am requesting a complimentary, two-year membership for 2022 and 2023.

These memberships are for a limited number of struggling, small businesses with up to 24 employees.

Items with an * are required; if there is no * they are optional, though we'd really love to have your input!

Denver North Business Association

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Membership Application

Items with an * are required; if there is no * they are optional, though we'd really love to have your input!