• Member Application

    Welcome, and thank you for your interest in joining the Greater Merrifield Business Association. GMBA serves the greater Merrifield area, and is open to businesses, citizens and non-profit organizations.

    Step 1:

    Member Info
    Please add your company name.
    Please add your company phone number.
    Please add a valid email.
    Physical Address
    Please add your address.
    Please add your City.
    Please add your MN.
    Please add your Postal Code.
    Please add your country.
    Mailing Address

    Step 2:

    Additional Info
    Please add your company description.
    Please add your business keywords.
    Please select a directory category.
    Please add your number of full-time employees.
    Please add your number of part-time employees.

    Step 3:

    Primary Contact
    Please add your first name.
    Please add your last name.
    Please add your phone number.
    Please add a valid email.

    Contact Preference

    Address
    Please add your address.
    Please add your City.
    Please add your State.
    Please add your Postal Code.
    Please add your country.
    Social Network Addresses
    Create Account
    Please add your login password.

    Step 4:

    Billing Contact
    Please add your first name.
    Please add your last name.
    Please add your phone number.
    Please add a valid email.

    Contact Preference

    Address
    Please add your address.
    Please add your City.
    Please add your MN.
    Please add your Postal Code.
    Please add your country.
    Social Network Addresses
    Create Account
    Please add your login password.

    Step 5:

    Membership Package
    Please select a Membership Package
    Payment Option
    Please complete the Captcha