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Your Contact & Business Information

After submitting this form, you will be directed to PayPal for payment processing. You will receive email confirmations from both PayPal and PBPA.

Email Address for your business, if different from Contact Email.
Business Name as you would like it listed on the PBPA website
Enter only your 4-digit zipcode
The days and hours that your business is open or a general statement, e.g., By Appointment
Please enter 1 - 5 words describing the type of business. For example, "Banking & Financial"
Please enter a summary marketing description of your business (1 or 2 paragraphs, no more than 35 words each paragraph or as few words as you wish)
Dues are $150 per year September to August. If you join after March 31, you will receive membership savings by paying $225 for a full year-and-a-half membership.

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