Needham Business Association  Your Business Connection in Needham

Please include the following information so that we may better serve you:

Your reason for joining the NBA:

___Street Fair   ___Health Insurance         ___Town Organization/Government

___Harvest Fair  ___New Business in town    ___Opportunities to market my business

___Networking  ___Professional Development ___Other (please describe)_____________________

____Please list and link my business to the NBA’s website www.needhambusiness.com

Email address________________________________Website address________________________________________

Description of business, in 35 words or less______________________________________________________________

_______________________________________________________________________________________________

Desired category listing on www.needhambusiness.com (see website for category listings)________________________

Monthly meeting preference ____AM ____PM ____Lunch

____I would like to discuss how I could become involved in the NBA.

____A reciprocal discount plan with other NBA members would be of interest to me.

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Yearly membership dues (1/1/07 – 12/31/07)

____Regular member - $200.00               ____Associate member (non-Needham resident or business) - $250.00

Payment method:  _____Check enclosed

Mastercard/Visa/Discover/Amex#___________________________________Expiration Date_____________________

Signature:__________________________________________________Date_____________________________________

Needham Business Association, 1492 Highland Avenue #6, Needham, MA 02492

For information about membership, contact Kathy Lewis, Membership Chair at 781-444-1155

For general information about the NBA, contact the NBA Administrator at 781-444-7980

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