Member - Desert Business Association, CA

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Business Keywords (enter a space between words):

Comments / Questions:

Referred By:

How did you hear about us?:

Promo offered to DBA members:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Instagram Twitter

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Instagram Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Instagram Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Business Membership: $300.00
VIP Preferred Membership: $420.00
Hotel/Resort Member - 50 or Less Rooms: $350.00
Hotel/Resort Member - 51+ Rooms: $420.00
Non-Profit Membership: $150.00
Must be a 501(c)3 Certified Organization

Additional Fees:

Administrative Fee : $40.00
One-time Administrative Fee for New Applications.

Payment Option:

Charge my credit or debit card

Print Application

Pages

Members

Categories

Quicklinks

Events

Upcoming DBA Events

Quicklinks

Contact Info

Pages

Members

Categories

Quicklinks

Events

Member Application

Mailing Address

Address

Address

Upcoming DBA Events

Quicklinks

Contact Info