2020 JCABA Membership New-Renewal Application

Jones Creek Area Business Association

“Better Business For A Better Community”

5805 Jones Creek Road • Baton Rouge, LA 70817

Complete and submit this online form for BOTH new and renewal applications.

Jones Creek Area Business Association - Better Business for a Better Community

ANNUAL DUES: $52.00 (includes $2.00 payment processing fee)

Business Name

Physical Business Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Owner First Name

Owner Last Name

Secondary Owner First Name

Secondary Owner Last Name

Business Email

Business Website

Business Phone

Business Fax

JCABA Contact

Hours of Operation

Description of your business (please include services and/or products)

Method(s) you prefer to be notified for meetings & events

please select below:

Postcard
Phone
Email
Facebook Event

If you would like to volunteer to serve your JCABA,

please check how below:

Door Prize
Social Event Host
Phones
JCABA Board/Officer
Legislative Liason

Thank you for supporting the JCABA!

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Sub Total

$52.00

TOTAL

$52.00

Payment Method

Credit Card

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

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New/Renewal Application Submitted

Thank you for submitting your new/renewal membership application.

We appreciate your continued support of the Jones Creek Area Business Association. Please help us grow our membership by encouraging other business owners in this area (Jones Creek Rd, Oneal Lane, etc.) to join along with you!

Our Membership Chairman, David Deitch, will be receiving this form. If you have any questions, you can email him at thegraphicsource@aol.com.

View Submission