Become a Member

There are two ways to become a member of our organization

1. FBA MEMBERSHIP APPLICATION or RENEWAL FORM

or

2. Complete the online form below

3. If you wish make donation online via debit or credit card, or PayPal

or Mail to: Fryeburg Business Association

PO Box 654

Fryeburg ME 04037

I am an:

Individual

Organization

Prefix:

First Name:

Middle Name:

Last Name:

Suffix:

Title:

Organization: Department:

Contact First Name:

Contact Last Name:

Address Type

<div class="widget-top">
<div class="widget-title-action"><a class="widget-action"></a></div>
<div class="widget-title"><h4>
Address Type: <select id="cn-address[::FIELD::][type]" name="address[::FIELD::][type]" ><option value="home" >Home</option><option value="work" >Work</option><option value="school" >School</option><option value="other" >Other</option></select>

<label><input type="radio" name="address[preferred]" value="::FIELD::"> Preferred</label>
<input type="hidden" name="address[::FIELD::][visibility]" value="public"></h4></div>
</div>
<div class="widget-inside"><div class="address-local"><div class="address-line"><label for="address">Address Line 1:</label><input type="text" name="address[::FIELD::][line_1]" value=""></div><div class="address-line"><label for="address">Address Line 2:</label><input type="text" name="address[::FIELD::][line_2]" value=""></div><div class="address-line"><label for="address">Address Line 3:</label><input type="text" name="address[::FIELD::][line_3]" value=""></div></div><div class="address-region"><div class="address-city cn-float-left"><label for="address">City:</label><input type="text" name="address[::FIELD::][city]" value=""></div><div class="address-state cn-float-left"><label for="address">State:</label><input type="text" name="address[::FIELD::][state]" value=""></div><div class="address-zipcode cn-float-left"><label for="address">Zipcode:</label><input type="text" name="address[::FIELD::][zipcode]" value=""></div></div><div class="address-country"><label for="address">Country</label><input type="text" name="address[::FIELD::][country]" value=""></div><div class="address-geo"><div class="address-latitude cn-float-left"><label for="latitude">Latitude</label><input type="text" name="address[::FIELD::][latitude]" value=""></div><div class="address-longitude cn-float-left"><label for="longitude">Longitude</label><input type="text" name="address[::FIELD::][longitude]" value=""></div></div><div class="cn-clear"></div><p class="cn-remove-button"><span class="cn-button-shell red"><a class="cn-remove cn-button" href="#" data-type="address" data-token="::FIELD::">Remove</a></span></p>
</div>

Add Address

Links

<div class="widget-top">
<div class="widget-title-action"><a class="widget-action"></a></div>
<div class="widget-title"><h4>
Type: <select id="cn-link[::FIELD::][type]" name="link[::FIELD::][type]" ><option value="website" >Website</option><option value="blog" >Blog</option></select>

<label><input type="radio" name="link[preferred]" value="::FIELD::"> Preferred</label>
<input type="hidden" name="link[::FIELD::][visibility]" value="public"></h4></div>
</div>
<div class="widget-inside">
<div>
<label>Title</label><input type="text" name="link[::FIELD::][title]" value="" style="width: 30%"/>
<label>URL</label><input type="text" name="link[::FIELD::][url]" value="http://" style="width: 30%"/>
</div>
<div>
<input type="hidden" name="link[::FIELD::][target]" value="new"><input type="hidden" name="link[::FIELD::][follow]" value="nofollow"></div>
<p class="cn-remove-button"><span class="cn-button-shell red"><a class="cn-remove cn-button" href="#" data-type="link" data-token="::FIELD::">Remove</a></span></p>
</div>

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Fryeburg Business Association

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