The information submitted on this form is collected to produce your listing on our web site and to create your membership file.

This portion of the form will be used to create your business listing within our web site. Please insure that the all information fields are correct and as you would like them to appear.

 

Business Name

Your Name

Business address

Phone#1 Phone#2 Fax

E-mail

Would you like this e-mail address posted on your member details page? Yes No

Your website (if applicable)

Business summary

(Use this field to give a brief description of your business along with a description of the service or product that you provide).

Provided benefit

(Use this field to describe the discount or special service that your company is willing to provide to other Strategic Business Alliance members. )

(example: 10% off carpet installation)

____________________________________________________________________

The remainder of this form will be used to create and administer your membership account.

Please note: The Strategic Business Alliance strictly does not share account information with third parties.

Billing address

Number of employees

I would like to be invoiced: monthly quarterly