JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BHBA Membership Form
"BHBA membership is open to any Burgess Hill based business that can encourage and benefit from an increased footfall in the town.
Members will benefit from improved communication between fellow members and relevant external parties"
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Personal Contact Details
Name (First / Last)
*
Your answer
Business Telephone Number
*
Your answer
Mobile Number (Optional)
Your answer
Can we add you to our BHBA WhatsApp group?
*
Yes
No
What of the following are you applying as?
*
Business
Charity or Community Organisation
Resident (Associate Membership)
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report