BBIM Membership Application
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Application Info
Please complete the applicable portions of this application. You may return to it if you need to gather information.
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1
. BBIM needs this information in order to properly identify you and process your application:
BBIM needs this information in order to properly identify you and process your application:
Name(s):
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address for BBIM contact:
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2
. How may BBIM contact you about this application?
How may BBIM contact you about this application?
Email (preferred by BBIM)
Phone
U.S. Mail
3
. Additional Information
Additional Information
Website address
Toll-free phone (if applicable)
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4
. What type of membership are you applying for?
What type of membership are you applying for?
Full Membership (non-refundable application fee - $100) - click Go to Next Page to go togo to Page 2
Associate membership - Public (for aspiring innkeepers, new inns, or friends of BBIM. Annual dues - $50) - Click Go to Next Page to go to Page 3
Vendor Membership (Annual dues - $100) - Click on Go to Next Page to go to Page 3
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