Doylestown Business and Community Alliance, serving Bucks County, Doylestown PA

DBCA 2010 Membership Application

Please enter all applicable information, then press the 'Submit' button. You will be taken to PayPal to enter your credit card information for payment.

Your First Name: Last Name:
Address 1:
Address 2:
Town: State: Zip:
Work Phone:
Home Phone:
Cell Phone:
Email:
Please provide an email address to save us money on postage for member correspondence. We do not share this information with any other party. We email members announcements of events.

MEMBERSHIP CATEGORY (Please check one)
- Resident $30.00
- Non-Profit Agency $50.00
- Business/Professional $100.00 (includes listing on website)

Additional Contribution for Doylestown Borough Beautification Program
Holiday Decorations and Hanging Flower Baskets - $

BUSINESS/NON-PROFITS - Information for Website
Business Name:
Business Address 1:
Business Address 2:
Business Town: State: Zip:
Busines Phone:
Business Hours:
Description of Business (maximum of 25 words):

Website Address:
Business Email:
Please provide an email address to save us money on postage for member correspondence. We do not share this information with any other party.
Would you like your email address published on the website? -Yes -No
Please select your business category:

Shop Local Program - Business Information
Our Shop Local, Dine Locall program gives local businesses the opportunity to offer a specific discount to other DBCA members. We encourage all business members to participate in this program. New in 2010, members of DBCA must show their membership card, in order to be eligible for discounts or offers. If you wish to participate, please describe below your discount/offer (i.e., 10% off total purchase, a free consultation, children eat free, etc.) You will receive a display counter card that shows you are a participant of Shop Local, Dine Local.
Would you like to participate in Shop Local, Dine Local? -Yes -No
Description of Shop Local, Dine Local Offer:

Volunteer Opportunities
The DBCA relies heavily on its volunteer efforts, in order to accomplish our mission. Please consider becoming a volunteer and lending a helping hand in your community. Please place a check next to those committees or events of interest to you:

-Membership	-Publicity & Marketing	-Santa Coming to Town
-Shop Local, Dine Local	-Memorial Day Parade	-5K Race
-Holiday Decorations	-Hanging Flower Baskets	-Arts Festival