MEMBERSHIP FORM
for Local Business Owners
Company Name
Primary Address:
City
State
Zip Code
E-mail Address(es)
Business Phone Number
Owner Name(s)
Alternate Phone Number
Website Address
Time in Business
Business Category
If "Yes", how many locations:
Are you a brick and mortar business?
If more than one location, please list the address of each:
Briefly explain why you want to become a member of Local Baby Resource:
Briefly explain what sets you apart from your competition:
Briefly explain how your products/services help expecting and/or new parents:
Please list three local references (business and/or client/customer) that we may contact:
Reference #1 Name/Company/Relationship:
Phone:
E-mail:
Reference #2 Name/Company/Relationship:
Phone:
E-mail:
Reference #3 Name/Company/Relationship:
Phone:
E-mail:
What do you believe you can bring to the group?:
Local Baby Resource is an exclusive group of the best that the city has to offer. Every application is presented to the board for approval. An interview with the business owner may be scheduled if necessary. Thank you for your interest!
REFERENCES
Membership Details
