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Membership Application

IMMEDIATE: Hairy Dog Digital Form-to-Email. FINAL: Hairy Dog Digital Form to database submission with online payment

As a pro­active business organization since 1986, the PBA strives to make Pasadena a choice community in which to live, work, and play. Your membership in the PBA affords you countless opportunities to grow and en­hance your business.

# of Employees:
# Years in Business:
Business Name:
Business Address:
Business City:
Business State:
Busines Zip Code:
Home Address:
Home City:
Home State:
Home Zip Code:
Contact Name:
Phone:
Fax:
Fax is: On a designated line: yes_____ no_____. Available 24 hours: yes_____no_____.
E­Mail:
Web site:
Business description:
Supply a 20 word description of your business that you’d like to convey to the member­ship in an upcoming newsletter to introduce you as a new PBA member. This description may also be used in our annual directory. 
Primary business category:
(Under what category do you want your business listed in membership directory -- e.g., Bank, Restaurant, Service Station, Physicians, Realtors, etc. All PBA members in good standing are entitled to three (3) free listings in the directory: alphabetical, categorical and cross reference.) 
Sponsor:
(While sponsorship is not a condition of membership, please let us know if a current member invited you to join, or had a 
positive influence on your decision to join the PBA.)
2009 Annual Dues Investment
1­5 Employees & Non Profit $120.00
6­20 Employees $150.00
21+ Employees $200.00
Associate Membership: Any member with BOTH business AND primary residence outside the PBA geographic boundaries (21122, 21146, 21061, 21060, 21108, 21226.) Associate members receive all privileges of active membership including that of voting, chairing a committee, and sitting on the board of directors. Associate members may not hold an officer position. Dues are the same as active membership. 
Dues investment is due with your completed membership application.
Please note: Membership investments to PBA are not tax deductible as charitable contributions. They may be tax deductible as an ordinary and necessary business expense.

Link to the PBA web site Home page