GSBA Membership Application information

Membership is subject to GSBA Board Approval. For information, please call (206) 363-9188 or send email to office@thegsba.org

(* required field)

Prefix:   
* First Name:
Middle Name/Initial:
* Last Name:
Suffix:
* E-mail:
Business/Organization Name:
Title/Position:
* P.O. Box/Street:
Apt./Suite:
* City:
* State:
* Zip:
* Country:
* Office/Business Phone:   Ext:  
Home Phone:
Fax:
Cellular:
Web Site:
  
* Address listed above is:         
If above address is a business address what is your home zip?  
  
* Nature of business:           
 

Mail / E-mail Preferences
GSBA's mailing list may be purchased by its members for marketing purposes.

 
 

2012 Dues Information

Membership dues and renewals are based on the calendar year from January 1 through December 31. Members who join after May 1st will pay prorated dues through the end of the year. Members who join in October through December will pay a prorated amount for the last quarter plus the dues for the next calendar year.

Please choose one of the following membership levels:

Add Associates: You may add associates to your small business membership for $50/each.

Add: associates to my membership for $


Donate to the GSBA Scholarship Fund

In addition to your membership dues, please support LGBT and Allied students with a monthly, tax-deductible donation to the GSBA Scholarship Fund (donations to the GSBA Scholarship Fund are charitable donations and fully deductible as allowed by law; membership dues are only tax deductible as a business expense).

Yes, I want to donate $10/month for the next 12 months to the GSBA Scholarship Fund.

Membership Agreements

  • By payment of dues I agree to be honor bound by the GSBA Standards of Ethics and Conduct.
  • I realize that this form is my GSBA membership agreement, but it is not my listing for the Guide and/or website. To be included in the Guide and/or on the website, I understand that I will need to complete the Listing Form which will be displayed after clicking below.
  • If applicable, I certify that I have and will maintain my appropriate professional or occupational license(s).
  • I acknowledge my GSBA membership dues are nonrefundable.

Subtotal: (does not include monthly donations)