Renewals must be received by December 31st to guarantee
your listing in the next Guide To Glocester Businesses.

INSTRUCTIONS:

• Complete the renewal form below
• Click on the "Submit Renewal" button to send your information to the GBA
• Follow the instructions to pay by check or credit card

Business Name REQUIRED
LIST CHANGES ONLY TO YOUR BUSINESS INFORMATION BELOW ... THE FOLLOWING INFORMATION WILL BE PUBLISHED ON THE GBA WEB SITE & GUIDE TO GLOCESTER BUSINESSES. COMPLETE ONLY THOSE FIELDS YOU WISH TO BE MADE PUBLIC.
Owner/Contact
Location Address
Mailing Address
Telephone
Fax
E-Mail Address
Web Site Address
Business Profile Max: 200 characters Brief description of services, hours, etc.
Business Category CHOOSE ONE	Animal Care/Training  Antiques/Collectibles  Arts/Artisans  Automotive  B&B/Lodging/Camping  Contractors/Supplies  Education/Child Care  Farms/Orchards  Finance/Consulting  Groceries/Bakeries  Health/Beauty  History/Genealogy  House/Garden  Insurance	Legal Services  Liquor Stores  Marketing/Promotional  Medical/Dental  Motels/Lodging  Printing/Graphic Design  Public Service  Real Estate  Recreation/Hobbies  Restaurants/Pubs  Senior Services  Technology Services  Travel/Transportation

THE FOLLOWING INFORMATION IS FOR GBA USE ONLY AND WILL NOT BE MADE PUBLIC.
Date business established:
Number of employees:
Other business-related memberships:
Any volunteer or community service activities:

Committees on which you would be willing to serve:
Brochure Distribution  Business Expo  Christmas in the Country  Glocester Heritage Society Liaison  Holiday Decorations  Membership  Mentor	Nominating  Phone Chain  Programs  Raffles  Scholarship  Joan M. Scorpio Award
Services or items you would be willing to donate:
Host a Meeting  Speak at a Meeting  Run a Workshop  Mentor a Local Student  Raffle Prize  Other (use space at right)
CHOOSE ONE  Regular Annual Membership ($50)  Retiree/Associate Membership ($20)
CHOOSE ONE  Will pay by check  Will pay by credit card

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