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Palmetto Business Association Membership Form 2024
We are excited you are interested in joining the PBA this year! Please take a moment to fill out the online application. This information is used for the PBA and the public to contact you.
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* Indicates required question
Email
*
Your email
Are you a previous member of the PBA?
*
Yes
No
Type of business (choose the best answer)
Government
Restaurant
Retail
Service
Clear selection
Name of business owner or point of contact
*
Your answer
Job title
*
Your answer
Business name
*
Your answer
Business address (please add city, state, and zip code)
*
Your answer
Mailing address if different from business address
Your answer
Business phone number
*
Your answer
Personal phone number (for PBA use only and is not required)
Your answer
Website or social media page for the public to find you.
Your answer
Would you like to be contacted about a member spotlight video for your business?
*
Yes
No
Would you be interested volunteering at events hosted by the PBA or on an event committee?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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