Membership Application

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Palm Beach Business Group, Inc.

401 South County Road #2753, Palm Beach, FL 33480

(561) 820-1579, e-mail: tross@pbbusinessgroup.com

2018 MEMBERSHIP APPLICATION

Membership in the Palm Beach Business Group, Inc. includes attendance at monthly breakfast meetings (with speakers) and special networking and educational events, normally without additional cost.

We encourage Members to network and promote business with and for each other. We foster business education, civic pride and political awareness through monthly speakers and events. We also encourage membership in other business groups, in some cases offering mututal membership fee discounts.  Payment can be made in check or credit card.  Stock or cryptocurrency is an option.

The Fee Structure is:

Annual rates:

• $200 for a Nonprofit, Seasonal, or Non-Resident membership (pay by clcking here)
• $400 for an Individual membership (pay by clicking here)
• $700 for a Corporate membership (pay by clicking here), $75 for each representative beyond the first two
  
• $1000 for a Corporate Sponsorship (pay by clicking here)

Monthly rates:

• $20 for a Nonprofit, Seasonal, or Non-Resident membership (pay by clcking here)
• $35 for an Individual membership (pay by clicking here)
• $60 for a Corporate membership (pay by clicking here), $8 for each representative beyond the first two
• $85 for a Corporate Sponsorship (pay by clicking here)
  

I/We hereby apply to be a member of the Palm Beach Business Group, Inc. as a(n);

Individual Member:  _____annual or ______ monthly.

Corporate Member:  _____ annual or _____ monthly for first two representatives,

                          plus _____ annual or _____ monthly additional representatives.

Non-Profit, Seasonal, or non-resident:  _____ annual or _____ monthly.

Corporate Sponsor:  _____annual or _____ monthly.

     Sponsorship fee includes four representatives and promotion twice per year.

I/We are also Members of _________________________________________(50% rate Org)

Company Name: _______________________________________________________________

Individual Name:________________________________________________________________

Address: ______________________________________________________________________

City: ___________________________________________State: ______ Zip: ______________

Phone: _____________________ Fax: ____________________  Mobile: __________________

E-mail: ________________________________ Website: _______________________________

Type of business: _______________________________________________________________

Additional Representative names: __________________________________________________

Comments/- Volunteering:_________________________________________________________

Agreed this _____ day of ___________, 2018.

__________________________________________________

Signature

(Please make checks payable to Palm Beach Business Group, Inc.)