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Membership Application
Step
1
of
6
16%
(Membership in BEAM is limited to businesses that do not conflict with existing membership)
Legal Name of Firm or DBA
*
Name of Representative of Firm
*
Title or Position
*
Years with Firm
*
Name of Alternate Member of Firm
(please note only ONE person may be an alternate)
Category Requested
*
(This activity must be at least 60% of your Company's business volume)
Business Address
*
Street Address
Address Line 2
City
ZIP Code
Business Phone
*
Fax Number
Email Address
*
Enter Email
Confirm Email
Cell Phone
Website
Home Address
*
Street Address
Address Line 2
City
ZIP Code
Business Type
*
Select One
Sole Proprietor
Partnership
Corporation
Corp. Representative
Franchise
Branch Office
Subsidiary
Individual LLC
Please describe all major products or services of your business and indicate the percentage each represents to total company income.
Activity 1
Percentage 1
Activity 2
Percentage 2
Activity 3
Percentage 3
Years established
Years in Marin County
Persons employed in Marin County
Other Counties in which you do business
If you perform other activities in your business that are in conflict with BEAM members already established in that category, as a member of BEAM you agree to market to BEAM members only the activity that is at least 60% of your business.
Please initial
*
Describe what you do in your business according to the membership category you are applying for:
*
References
Name
First
Last
Business/Occupation
Phone
Website
Name
First
Last
Business/Occupation
Phone
Website
Name
First
Last
Business/Occupation
Phone
Website
Documents
The following documents are needed to process your application.
NAMING CONVENTION:
files should be named as follows: your full name_file purpose(license,insurance,credit).filetype (.pdf, .docx, .jpg)
Example:
gloria-atherstone_business-license.pdf
Business/Professional License
Max. file size: 10 MB.
Copy of your company's Business License and/or Professional License (if applicable)
Insurance
Max. file size: 10 MB.
Copy of either a Certificate of Insurance or a copy of the Declarations Page of your company Liability/E&0 Insurance (if applicable)
Credit Report
Max. file size: 10 MB.
Copy of a recent credit report. Viewed by only the New Member Chair and President
BEAM Membership
*
Price:
Comments
This field is for validation purposes and should be left unchanged.
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