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Please complete the form below to apply for membership. After completing the form, your membership application will be sent to our Membership Director. If you have any immediate questions, feel free to contact us at 255-0981 and ask for Summer Parkman.

Membership Information
 

Company Name    
Business Classification    
Main Representative   
Address   
City   
State   
Zip   
Phone   
Fax     
Email     
Website      
Number of Employees
(2 Part Time = 1 Full Time)
   
   
Business Description   
   
Our base dues is $330 a year,
with a one time processing charge of $25.

We are currently running "Promotions" for new members including free
admission to the next Business After Hours. An entire welcome packet awaits!

By submitting this form, you are indicating that you are interested in becoming a member. You are under no obligation.

Upon submission, we will contact you to discuss in further detail what we can do to help your organization and what role we play in the area. After considering all the benefits of membership, we hope that you decide to become part of the most influential business group in the Daytona Beach/ Halifax Area.