Springfield Business Association

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Membership Form

Join or Renew Membership by filling out the form below

Membership Type (Which type should I choose?)

Business Member $100 - This membership is for business that is owned by a person living in the in the Springfield area or operated in the Springfield area.

Additional Business $75 - Additional business(s) by the same owners may apply for membership for additional business for $75.00 each.

Affiliate Member $150 - This membership is for businesses located outside of the Springfield area looking to do business in Springfield and with the Springfield community.

Additional Affiliate Member $100 - Additional business(s) by the same owners may apply for membership for each additional business for $100.

Payment Remittance

I will mail payment to SBA Treasurer, Diane Sullivan at 800 N 4th St, Springfield, NE 68059

I would like an invoice be email to me for payment

Please fill out contact information below. *All fields with an asterisk will be published in our business directory.*

Business/Organization Name*

Primary Contact First and Last Name*

Secondary Contact First and Last Name

Business Address*

Business City*

Business State*

Business ZIP*

Mailing Address

Mailing City

Mailing State

Mailing ZIP

Business Phone*

Cell Phone

Primary Email #1*

Secondary Email #2

Website*

Facebook*

Business Category

Description of your business*

File input - add logo or business photo to be included in your business directory listings

Do you have an additional business entity by same owners you want to apply for membership? If so, please list here.

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Membership Form

Join or Renew Membership by filling out the form below