Online Membership Application | Purcellville Business Association

Purcellville Business Association Membership Application

Benefits of Membership

• Monthly meetings featuring speakers on topics of interest to Western Loudoun businesses
• Networking with other Western Loudoun business professionals
• Listing your business information on the PBA website with a direct link to your website
• Sharing your business news in the PBA newsletter and Facebook page
• Keeping informed on business-related topics in Purcellville
• Gaining an advocate for your business in the community

Annual Membership Dues: $120 – PBA Membership Runs On A Calendar Year Basis

Please complete the form below, then click Send.

Company Name *

First Name *

Last Name *

Website Address

Email Address *

Confirm Email Address *

Phone Number *

Mobile Phone Number

Business Address *

City *

Select A State *

ZIP Code *

Add To PBA Membership Directory?

Yes! Please add my information to PBA’s membership directory

No, do not add me to the PBA Membership Directory.

Receive Mobile Text Announcements?

I would like to receive text messages regarding PBA events and announcements, (maximum of 2-3 per month, data charges may apply from your cellular provider)

No, do not add my cellular number to PBA text announcements.

Receive Email Announcements?

Yes, add my email address to PBA announcements.

No, do not add my email address to PBA announcements.

Business Summary

This will be used as the main text on your business page.

Business Logo or Profile Picture

Maximum upload size: 12MB

This will be the main image for your business page. Please only upload .jpg, .png or .bmp. Images can be no larger than 12MB.