Become a Member

Name

I am an Individual Organization

PrefixFirst NameMiddle NameLast NameSuffix

Title

Organization

Department

Contact First NameContact Last Name

Image

Select Image:

Maximum upload file size: 64 MB.

Logo

Select Logo:

Maximum upload file size: 64 MB.

Addresses

<div class="widget-title">
				<h4>
					<span class="address-type">
					<label for="cn-address[::FIELD::][type]" >Address Type</label><select id="cn-address[::FIELD::][type]" name="address[::FIELD::][type]" ><option value="work" selected='selected'>Work</option><option value="home" >Home</option><option value="other" >Other</option></select>
<span class="preferred"><input type="hidden" id="cn-address[preferred]" name="address[preferred]" value="" /></span>					</span>
					
				</h4>
			</div>

</div>

<div class="address-line"><label for="cn-address[::FIELD::][line_1]" >Address Line 1</label><input type="text" id="cn-address[::FIELD::][line_1]" name="address[::FIELD::][line_1]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_2]" >Address Line 2</label><input type="text" id="cn-address[::FIELD::][line_2]" name="address[::FIELD::][line_2]" value="" /></div><div class="address-line"><input type="hidden" id="cn-address[::FIELD::][line_3]" name="address[::FIELD::][line_3]" value="" /></div><div class="address-line"><input type="hidden" id="cn-address[::FIELD::][line_4]" name="address[::FIELD::][line_4]" value="" /></div>
			</div>

<div class="address-city"><label for="cn-address[::FIELD::][city]" >City</label><input type="text" id="cn-address[::FIELD::][city]" name="address[::FIELD::][city]" value="" /></div><div class="address-state"><label for="cn-address[::FIELD::][state]" >State</label><input type="text" id="cn-address[::FIELD::][state]" name="address[::FIELD::][state]" value="" /></div><div class="address-zipcode"><label for="cn-address[::FIELD::][zipcode]" >Zipcode</label><input type="text" id="cn-address[::FIELD::][zipcode]" name="address[::FIELD::][zipcode]" value="" /></div>
			</div>

<div class="address-latitude"><label for="cn-address[::FIELD::][latitude]" >Latitude</label><input type="text" id="cn-address[::FIELD::][latitude]" name="address[::FIELD::][latitude]" value="" /></div><div class="address-longitude"><label for="cn-address[::FIELD::][longitude]" >Longitude</label><input type="text" id="cn-address[::FIELD::][longitude]" name="address[::FIELD::][longitude]" value="" /></div>
				
			</div>

<input type="hidden" name="address[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="address"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Address

Phone Numbers

<label for="cn-phone[::FIELD::][type]" >Phone Type</label><select id="cn-phone[::FIELD::][type]" name="phone[::FIELD::][type]" ><option value="workphone" selected='selected'>Work Phone</option><option value="workfax" >Work Fax</option><option value="cellphone" >Cell Phone</option></select>
<span class="preferred"><input type="hidden" id="cn-phone[preferred]" name="phone[preferred]" value="" /></span>
				</h4>
			</div>

</div>

<label for="cn-phone[::FIELD::][number]" >Phone Number</label><input type="text" id="cn-phone[::FIELD::][number]" name="phone[::FIELD::][number]" value="" />
			</div>

<input type="hidden" name="phone[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="phone"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Phone Number

Email Addresses

Add Email Address

Messenger IDs

<label for="cn-im[::FIELD::][type]" >IM Type</label><select id="cn-im[::FIELD::][type]" name="im[::FIELD::][type]" ><option value="aim" selected='selected'>AIM</option><option value="yahoo" >Yahoo IM</option><option value="jabber" >Jabber / Google Talk</option><option value="messenger" >Live Messenger</option><option value="skype" >Skype</option><option value="icq" >ICQ</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-im[preferred][::FIELD::]" name="im[preferred]" value="::FIELD::" /><label for="cn-im[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-im[::FIELD::][id]" >IM Network ID</label><input type="text" id="cn-im[::FIELD::][id]" name="im[::FIELD::][id]" value="" />
			</div>

Social Media IDs

Add Social Media ID

Links

<input type="hidden" id="cn-link[::FIELD::][type]" name="link[::FIELD::][type]" value="website" /><span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-link[preferred][::FIELD::]" name="link[preferred]" value="::FIELD::" /><label for="cn-link[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-link[::FIELD::][title]" >Title</label><input type="text" id="cn-link[::FIELD::][title]" name="link[::FIELD::][title]" value="" />
			</div>

<span class="target"><label for="cn-link[::FIELD::][target]" >Target</label><select id="cn-link[::FIELD::][target]" name="link[::FIELD::][target]" ><option value="new" selected='selected'>New Window</option><option value="same" >Same Window</option></select></span>
<span class="follow"><select id="cn-link[::FIELD::][follow]" name="link[::FIELD::][follow]" ><option value="nofollow" selected='selected'>nofollow</option><option value="dofollow" >dofollow</option></select></span>

</div>

<label>
					<input type="radio" name="link[image]" value="::FIELD::" >
					Assign link to the image.				</label>
				<label>
					<input type="radio" name="link[logo]" value="::FIELD::" >
					Assign link to the logo.				</label>

</div>
			
						<input type="hidden" name="link[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="link"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Link

Dates

Add Date

Biographical Info

Notes

Excerpt

Fryeburg Business Association

or

Name

Category

Image

Logo

Addresses

Phone Numbers

Email Addresses

Messenger IDs

Links

Dates

Biographical Info

Notes

Excerpt

Become an FBA
Member Today

Upcoming Events

Our Business
Directory

Our Board of
Directors

Upcoming Events

Return of The Fryeburg Pumpkin People!

Become a Member

or

Name

Category

Image

Logo

Addresses

Phone Numbers

Email Addresses

Messenger IDs

Social Media IDs

Links

Dates

Biographical Info

Notes

Excerpt

Become an FBAMember Today

Upcoming Events

Our BusinessDirectory

Our Board ofDirectors

Upcoming Events

Return of The Fryeburg Pumpkin People!

Become an FBA
Member Today

Our Business
Directory

Our Board of
Directors