Member Application

The Urbana Business Association is a membership-driven, not-for-profit organization whose mission is to promote the city of Urbana as a dynamic place to live, work, and do business.
Business Information
Employees: *
Physical Address

Mailing Address

Social Networking:
Primary Contact Information
Contact Preference:
Social Networking:

Address

Billing Contact Information
Contact Preference:
Social Networking:

Address

Membership Options
Membership Package: *
Additional Opportunities:
We will contact you with additional information.
Payment Option:
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