Chalfont New Britain Business Alliance 2014 Membership Form

If you would like to join the Chalfont New Britain Business Alliance, please complete the
form below and return with a check made payable to "Chalfont Business Alliance" at
PO Box 95, Chalfont PA 18914. Any questions please call (215) 822-2990
Contact Information:
Date: ________________
Name:________________________________________________________________
Address:______________________________________________________________
Phone (Work):______________________

(Work):___________________________

E-Mail:_______________________________________
Please provide an e-mail address, if possible, in order for the organization to save money on
postage for member correspondences. The address is used for contact by the Alliance only and
will not be distributed to any other party.
Membership: (Membership year is January thru December)
Business Membership $75.00/Per Year (January-December)

_________

Business Information You Would Like Published On The Website:

Business Name: __________________________________________________________
Address: ________________________________________________________________
Phone: _________________________________
Business Description (25 Words Or Less):______________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Website Address:_________________________________________________________
E-Mail Address: __________________________________________________________
CNBBA Membership Special Offers:
Some CNBBA members offer discounts to other members. If you wish to participate, please
describe your offer (i.e. 10% off total purchase, free consultation, etc.):

______________________________________________________________________________