MEMBERSHIP APPLICATON SUBMISSION
Portsmouth Business Association, Box 314, Portsmouth, RI 02871

PLEASE COMPLETE THE APPLICATION BELOW. Dues are $60.00 per calendar year. Secondary Classifications are an additional $5.00 per year. Payment is accepted via credit card through secure on-line processing by PayPal®.

You may download the membership application in .pdf format here.

Thank you for your participation... the Portsmouth Business Community values your involvement!

PLEASE INCLUDE THE FOLLOWING INFORMATION

Items in red are required

Name or Business name
Email Address:
Contact Name
Contact Address
City, State & Zip
Phone Number
Fax
Business Category	----Choose Category ----- Accountants Advertising Antique Restoration Antiques Arts Assisted Living Auto Accessories & Detailing Auto Repair Auto Sales-New & Used Auto Sales-Repairs Bookkeeping Busines Development Catering Chambers Child Care Chiropractic Computer-web design Concierge Construction Contractors CPA Dance Instruction-Schools Decorating Defense Contractors Dentist Dentistry Diesel Engines Dry Cleaners Editorial Services Education Engineering Entertainment Event Accommodations Financial Accounting Financial Institutions Fitness Florist Funeral Home Garden Supplies Garden Supply Gasoline/Diesel Golf Course Graphic Design Grocery Store Hair Salon Health Care hospice Insurance Insurance/Investment Insurance-Employee Benefits Interior Design Internet Marketing Landscaping Law Offices Liquor Store Manufacturing Marina Marine Marine - New Boat Construction Marine-New Boat Construction Marketing & Advertising Marketing/Advertising Martial Arts Massage Therapy Modular Homes Mortgage and Finance Motor Fuels Office Building Leasing Organizations Painters Pet Care Photography Picture Framing Pizza Plumbing/Heating Prepared Foods & Deli Printing Private Club Promotions Real Estate Real Estate Development Rentals Restaurant RETAIL Retail-Clothing Retail-Hardware Sailing Salon/Spa Seafood Septic System & Equipment Septic Systems Shoes/Shoe Repair Signs Tent Rentals Towing Travel Agency Used Car Sales Vacuum Sales/Repair Vending Machines Veterinarian Vineyards Web Site Design Wholesale/Imports Writer-Public Relationship Yacht Sales
# of Employees	self 1-4 5-10 10+
Type of Business	Corporation Proprietorship LLC Partner
Comments or Questions
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