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Type of Membership Application

  Associate Membership for Aspiring Innkeeper or friend of BBIM (complete applicable items, including ones marked with a red asterisk - *)
  Vendor Associate Membership (complete Basic Information items)

Basic Information

Enter Name of Inn or Business:   

Enter Nature of Business (for Vendor Members):   

Applicant(s) Name(s): *  

Street Address: * 

Mailing Address (if different): * 

City:  *     State: *     ZIP: * 

Contact Phone:  * ()

Toll Free:   ()

Fax:   ()

Contact email:  * 

Email Address of Inn or Business (if different):   

Website Address:   

If Aspiring Innkeeper - Do you have a property?

   Yes

If so, where is it located?

   No
   Not Applicable

Do you wish to participate in the BBIM Mentor program?

   Yes
   No

I will pay the Associate Member Dues ($50 Associate Member dues or $100 Vendor Member dues) by:

  Check made out to BBIM and mailed immediately.
  Credit Card. Return to the "Join" page after submitting this form and follow the link to pay by Paypal.