Member

Business Information

Company Name: *

Phone: *

Website:

Business Description (300 char max):

Business Category: *

Employees: *

Full-time Part-time

Business Keywords:

Keyword 1 Keyword 2 Keyword 3 Keyword 4 Keyword 5 Keyword 6 Keyword 7 Keyword 8

Comments / Questions:

Reason for Joining:

Physical Address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

Zip / Postal Code:

Country:

Membership Options

Membership Package: *

Membership - 1 to 2 Employees: $185.00
Full 12 month membership for companies that have 1-2 employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - 3 to 5 Employees:
Full 12 month membership for companies that have 3-5 full time employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - 6 to 9 Employees: $285.00
Full 12 month membership for companies that have 6-9 full time employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - 10 to 24 Employees: $350.00
Full 12 month membership for companies that have 10-24 full time employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - 25 to 49 Employees: $380.00
Full 12 month membership for companies that have 25-49 full time employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - 50 to 100 Employees: $450.00
Full 12 month membership for companies that have 50-100 full time employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - 101+ Employees: $540.00
Full 12 month membership for companies that have over 100 full time employees (including owners). Please note that 3 p/t = 1 f/t equivalent. Membership - Non Profits: $150.00
Full 12 month membership for companies that are registered Not-for-Profit organizations.

Additional Fees:

One Time Administration Fee - $25.00
One Time Administration Fee for new Member Sign ups

Additional Opportunities:

We will contact you with additional information.

Enhance Listings - Website - $100.00
- 1,600 character business description - Logo/image next to company info. - Bulleted highlights - Additional website links - Slideshow of photos or video - Enhanced map features Additional Listing - 2nd Listing - $50.00
Membership includes first listing on our website and in our printed directory at no charge. This is for the first additional listing. Additional Listing - Over 2 listings - $25.00
Membership includes first listing on our website and in our printed directory at no charge. This is for additional listings after the first two listings.

Payment Option:

Bill me Charge my credit card

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 2 plus 1?: *

Member Application

Physical Address

Mailing Address

Address