Membership Application

 

Connect with success at the Rhode Island Black Business Association, your link to people, program, and resources you need to grow your business and yourself. Join today and start benefiting from RIBBA’s pro-business advocacy, business and professional development programs, and high visibility events throughout the year.

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Your dues investment can cost less than a daily cup of coffee.
Annual membership dues can be auto-debited or paid in installments.

   
Organization Information (to be displayed online)
Business Name
Address 1
Address 2
City
State
Zip
Phone
Fax
Website
Email
Please give a brief overview of your business (limited to 100 characters)
Please give a longer overview of your business
Six keywords Describing your Business
What Type of Business

Black Owned Business

Female Owned Business

Individual or Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
  • Select additional directory categories below by holding the "CTRL" key
  • Secondary categories may be subject to additional fees
Number of Full Time Employees:
 
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
MembershipType
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
$ 
   
$ 
$ 
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Credit Card Type *
Credit Card Number *        
Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.