MRBA | Member Application
Complete this form to apply for membership in MRBA.

Business owners with a business that is located within the following parameters qualify for membership:

  • South of I-10
  • East of Severn Avenue
  • West of the 17th Street Canal
  • North of Airline Highway
Annual dues are $200 and can be paid after completing this form (see info at bottom).
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Email *
Your First Name (Owner) *
Your Last Name (Owner) *
Your Cell (for MRBA contact and alerts) *
Business Name *
Business Address *
Business Phone Number *
Business Website *
Instagram Handle *
Pay dues here.
Dues are collected via PayPal. You do not need a PayPal account to pay. Please click the link above or copy-paste this link to pay your dues: https://www.paypal.com/ncp/payment/M4M86T84B4YQ2

After paying dues, please remember to submit this form!
A copy of your responses will be emailed to the address you provided.
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