Association Membership: Application

Membership Fee

The fee for membership in the Dennis Small Business Association is $50.00 per year. This includes a listing on our website in the Business Directory, complete with your company's name, address, email contact information, and a photograph and short description of your business. The listing will also include a link to your existing website. If you do not have a website already, you will be provided with a page with extended information on our website.

One-Time Fee

An additional one-time fee of $50.00 is due with your membership to help us defray the cost of creating and designing our website.

Both new and returning members are asked to fill out the form below. Thank you.

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Business Name
Owner Name
Short Description
Phone Number 1
Phone Number 2
Phone Number Toll Free
Fax Number
Email
	Please add me to your mailing list
Website

Owner Contact Information
Address
City
State	PLEASE SELECTAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Postal Code
Phone Number

Business Mailing Address
Address
City
State	PLEASE SELECTAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Postal Code

Business Physical Address Physical address is same as mailing address
Address
City
State	PLEASE SELECTAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Postal Code