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Membership Application

Join the GMBA!
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First Name: *
Last Name: *
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Organization: *
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Are you interested in sponsorship opportunities?
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(You may sponsor GMBA activities for a month. Your sponsorship includes a 5 minute presentation at the monthly luncheon. A one-month sponsorship fee is $125)
Would you like to serve on a committee?
Yes    No

If so, indicate the committee you're interested in joining and the committee chairman will contact you.

Membership fee may be paid by check, credit card, or via this online form (New Members only). Please make checks payable to GMBA. You may call Nikki to make a credit card payment at 703-208-1161. For all payments by check, submit this completed form and then mail your payment to:

Nikki Doremus
2841 Hartland Road, Suite 406
Falls Church, Virginia 22043

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Thank you $[FirstName] for applying for membership at the Greater Merrifield Business Association (GMBA).

To complete your membership application, please click below to pay by credit card.

Note: The link above will take you to a secure credit card payment form at Authorize.Net. If you have pop-up blockers enabled, please hold the CTRL key at the same time you click on the link above. A new window will open with the payment form.

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