The University Area Business Association: Join Us


*Business Name:**
*Contact Person/Title:**
*Email Address:**
Website:
Phone Number:
Fax Number:
OK to Fax:	8am-5pm Anytime
Address:	,
Referred By:
Business Slogan:
* indicates required field Note to potential members: UABA respects your privacy and requests your expressed permission to contact you during the term of your membership. By submitting this application, I agree to accept communications from the University Area Business Association via regular mail, e-mail, telephone and/or fax during the term of my membership. I understand that I will be billed the annual dues of $25.00 for my membership in the University Area Business Association. Initials: Date: