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National Small Business Association Membership Application

Please fill out this form to join the National Small Business Association

Contact Information

First Name

Last Name

Company

Address 1

City

State

Zip

Phone

Fax

E-mail

Number of Employees

Business Type

Area of Expertise

As an advocacy organization, we always are interested in identifying members who have knowlege about small business issues. Please check if you have expertise in the folllowing small business areas

Issue 1-Budget-Deficit

Issue 2-Tax

Issue 3-Health

Issue 4-Access Capital

Issue 5-Regulations

Issue 6-Workforce-Education

Issue 7-Energy

Issue 8-Federal Contracting

Issue 9-Labor Law

Issue 10-Tort Reform

Issue 11-Exporting

Issue 12-Immigration

Issue 13-IT-Intellectual Property

Media Outreach

Please indicate if you are willing to do media outreach

Media-Op Ed

Media-Speeches Groups

Media Interviews-Radio

Media Interviews-TV

Issue Committees (Optional)

If you are interested in getting more involved in NSBA's legislative and advocacy work for small business, committees are a great place to get started.Please indicate which committees you would like to serve on

Committee-Economic Development

Committee-Environ -Regulatory Affairs

Committee-Health Human Resources

Committee-Tax

Payment Information

Please submit payment information to complete your membership registration in the National Small Business Association. Membership dues are 75% deductible for federal tax purposes. Dues are based on your number of employees.
1-9 employees $250
10-19 employees $450
20-49 employees $750
50-99 employees $1250
100-249 employees $2450
250+ employees $5500

Small Business Exporters Association- Add $50 per year

Small Business Technology Council-Add $50 per year

Credit Card Number

Credit Card Expiration Date

Annual Membership Dues