Online Application

Online Membership Application

Company Information

Company:

*

Address Line 1:

*

Address Line 2:

City:

*

State:

*

Zip:

*

Phone 1:

*

Phone 2:

Fax:

E-mail:

*

Website:

Bus. Category 1:

Full-time Employees:

*

Part-time Employees:

*

Business Description:

Logo:

Images must be less than 1MB in file size.

Image size may not exceed 1MB.

Diversity Classifications

Select the appropriate classification(s) for your business.

Woman Owned Business

Black/African American Owned Business

Hispanic American Owned Business

Native American Owned Business

Asian Pacific American Owned Business

Veteran Owned Business

Sponsorship Interest

Please indicate if your business is interested in sponsoring one of our events. **No commitment required**

Yes, I'm interested in sponsoring events.

Contacts

Primary Contact

Prefix:

First Name:

*

Last Name:

*

Suffix:

Familiar Name:

Title:

Create Login

Your member login allows you to update your information online and register for events.

Username:

*

Password:

*

Verfiy Password:

*

Use Company contact information

Billing Contact

Send invoices to Primary Contact

Membership Tiers

Community Stakeholder

$3,000.00

Business Leader

$1,500.00

Executive

$750.00

Bricks & Mortar Business

$350.00

Home Based Business

$200.00

Church/Small Non-Profit Organizations

$150.00

Community Investor

$50.00

Total:

$0.00

I grant the Oberlin Business Partnership permission to contact me.

Security Code:

Please enter the security code above.

**

Become a Member