Join SMBP

Take the next step in your professional journey. Fill out the application below to join our networking group.

Membership Application

Thank you for your interest in joining our inclusive networking group. Please complete this form clearly so that we may process your information. Your application will be processed by our leadership team and if accepted your dues will then be requested. Your membership begins on the date your application is accepted, dues are paid and attendance will be expected from that day forward.

1Business Information

First Name/Middle Initial

Last Name

Business Name

Phone Number

Business Mailing Address

City

State

Zip

E-mail Address

Website

Facebook Account

Date of Birth

2Classification & License

What professional classification or industry will you represent?

What is your background in that classification?

Do you have a license?

Yes

N/A

3Business References

Please give name/contact info of two references with whom you have done business (non-SMBP)

Reference 1

First Name

Last Name

Business Name/Occupation

Phone Number

Reference 2

First Name

Last Name

Business Name/Occupation

Phone Number

4Membership Information

Are you able to commit to weekly meetings?

Yes

Note: Annual Dues: $200 + Quarterly Dues: $35. Dues will be requested only if your application is approved by the SMBP Membership Committee.