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Joinbadgaldesign2023-01-30T17:33:02+00:00

GRBBA Membership Form

Step 1 of 4

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Complete this form to pay by Credit Card, Debit Card, Check, or Money Order.

For Check or Money Order, after completing the form you will see specific instructions on where to send your check or money order payment.

Thank you in advance for joining GRBBA.

Business Address(Required)
How can GRBBA help you?
Number of Employees(Required)
Payment Method(Required)
Individual Contact Name(Required)
Contact Address(Required)
If Contact Address is different from Business Address, please enter in the information below.
Preferred Contact Method
Individual Contact Address
Is this company greater than 50% Black-Owned?(Required)
Primary Owner Ethnicity
Owner Gender Identity
On the next page, you'll submit payment details.

Thank you for submitting your information.

You chose to send a "Money Order" or "Check" as your form of payment. A representative from GRBBA will reach out to you with the contact information you provided.

 

Please send your Money Order or Check to:

Evelyn Holmes, Treasurer
48 Kings Court Way Apt 3
Rochester, NY 14617

You can also email: treasurer@grbba.org

 

Thank you!

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GET IN TOUCH

Email: Connect@GRBBA.org

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