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.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add your company website.
Please add a valid email.
Physical Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Mailing Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please add your business keywords.
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your title.
Please add your cell phone number.
Please add a valid email.
Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your title.
Please add your cell phone number.
Please add a valid email.
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Please complete the Captcha