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Bordeaux Economic Development Membership Form
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MEMBERSHIP LEVELS & BENEFITS
Business Owner
Full Name ( First & Last Name)
*
Your answer
Name of Business
*
Your answer
DBA
Your answer
Business Structure (ie. LLC, Corporation, Sole Prop etc)
*
Your answer
Tax ID (EIN) #
*
Your answer
Address
*
Your answer
City, State
Your answer
Zip
*
Your answer
Email Address
*
Your answer
Mobile Phone #
*
Your answer
Yearly Membership Type
*
Business Owner
Required
Where can Customers find you?
Online
Brick & Mortar
Vendor Market
Physical Location Address(es)
Your answer
Business Website
Your answer
Instagram URL
Your answer
TikTok URL
Your answer
Facebook URL
Your answer
Are you interested in short term rental space opportunities for small businesses in the community?
*
Yes
No
Authorization: By signing your name below, you authorize the Bordeaux Economic Development to contact you about membership and agree to pay the yearly membership fee upon approval.
Your answer
I would like to also include an additional O
ne Time Donation To Support Economic Development In The Community
- Enter Amount Below:
Your answer
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