New Non- Profit Business Association Membership Form

Member Information

Regional Membership*

Central Valley

Association Name*

Business Address*

Street Address Address Line 2 City State ZIP Code

Is the Mailing Address the same as your Business Address?*

Yes, use my Business Address

No, use a different address

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Company Phone*

Company Website*

Please include https:// or http:// before your website.

Number of Members*

Primary Contact - Central Valley

Primary Contact Name*

First Last

Professional Title*

Business Association*

Phone Number*

Email Address*

Does your organization have a Political Action Committee (PAC)?

Yes

Enter name of PAC

Does your organization have a Foundation (c3)?

Yes

Enter name of Foundation

Membership Level

Please choose from one of the membership levels below. Membership dues are based on yearly revenue and Basic/Elite status. Choosing Elite gives organization special recognition in BizFed brochure materials and at board meetings.

Annual Revenue*

Less than $100,000*

Basic ($100)

Elite ($200)

$100,000 - $500,000*

Basic ($200)

Elite ($400)

$500,000 - $1,500,000*

Basic ($300)

Elite ($600)

$1,500,000 - $3,000,000*

Basic ($400)

Elite ($800)

More than $3,000,000*

Basic ($500)

Elite ($1,000)

Payment method*

Mail a check

Paypal

Please mail the check to:
Central Valley Business Federation
134 Bullard Avenue
Clovis, CA 93612
Tax ID#84-1874980
BizFed W9 Form

Invoice Request

Please send an invoice for payment

Central Valley Membership Agreement

All members of BizFed agree to the following requirements:

501 (c) association serving business members with interests in Central Valley
Supports the overall vision, goals and strategies of BizFed as outlined in the organization’s bylaws and strategic plan.
Agree to send "Action Alerts" to your members within 48 hours, unless the requested action conflicts with your association's position.
Agree to keep any list of BizFed member contact information confidential and used only for the purpose of organizing around BizFed issues.

Membership Criteria*

I agree to membership criteria

Type your full name as your signature*

Enter today’s date*

Have questions?

Please contact Melissa Traugh, Member and Operations Manager.

Melissa Traugh
Email: melissa.traugh@bizfed.org
Phone:661-565-7659

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New Non- Profit Business Association Membership Form

Member Information

Primary Contact - Central Valley

Membership Level

Central Valley Membership Agreement

Have questions?

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