PBPA Membership Application/Renewal – Pay by Check

Your Business & Contact Information

Whether you are joining as a new member, renewing your membership, or just updating your business information, please complete the application below.

After completing this form you will be redirected to a PBPA website page with payment instructions.

* asterisked fields are required.

Additional Email Addresses, separated by commas, to subscribe to the PBPA Email Notificaton list.
Business Name as you would like it listed on the PBPA website
Enter only your 5-digit zipcode
The days and hours that your business is open or a general statement, e.g., By Appointment
Please enter a summary marketing description of your business to be displayed on the PBPA website
The membership year runs from September 1 through August 31. Basic members joining after March 1 become members for the balance of the current year and the full next year for $250.

This form collects your name, email address and other business information so that the PBPA can publish your business listing in its online directory. Please check our privacy policy to see how we protect and manage your submitted data.