Please complete the form below, then press Submit. Required fields are marked with a red *. Since we are unable to accept membership fees online at the present time, please print the application after it is completed (but before you press the submit button) and send to the address above, along with your check for $50 payable to: Oley Valley Business Association. If you are unable to print it, then please include a note with your check indicating your Business Name and that you completed the form online. Thank you!

* Business Name
* Member Representative
Membership Type	Regular - Business is in the Oley Valley Trading Area Associate - Business is outside the Oley Valley Trading Area

Please select the Business Category that most closely fits your business from the list below. You may select more than one, but please limit your selection to no more than 3 categories. If none of the below categories fit your business, please select 'Other' and put your recommendation in the text box below the list. Advertising Design/ProductionDirect Mail ServicesNotary AntiquesDoctorsPersonal Membership AttorneysEducation/TrainingPet Services AuctionsEngineersPlumbing/Heating & Air Auto Sales/Auto PartsFarm/Lawn/GardenPrinting/Sign Painting Auto/Truck RepairFarmsPublishing/Advertising BanksFinancial ServicesReal Estate Services Banquet Facilities/CateringFloor CoveringsRecreation/Clubs Bed & Breakfast/LodgingFuneral HomesRestaurants Building MaterialsGiftsRoofing Business EquipmentGovernmentSewing/Alterations Business ServicesGroceries/Specialty MarketsSnow Removal CandyHair SalonsStorage Central Vacuum SystemsHardwareSurveyors ChiropractorHome Heating OilTimber/Sawmill ChurchesHorse SalesTravel Agents ClothingIndependent Sales ConsultantsTrucking CommunicationsLandscapingTV Satellite Systems Computer Sales/Service/ConsultingMachinery Design & ManufacturingVolunteer Fire Company ConsultantsManufacturers RepWater/Fire/Mold Damage Remediation ContractorsManufacturingWeb Services Crafts & SuppliesMunicipal Engineer/Code EnforcementWelding DentistsNon-Profit OrganizationOther Design/Illustration/PhotographyNonProfit Blood Center

Other Category
* Address Line 1
Address Line 2
* City
* State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip Code
* Phone
Fax
* Email Address
	I am willing to receive site and newsletter updates at the above email address. You will be added to the list once your membership is accepted.
Business Website (if applicable)
Business Logo or Photo (if applicable)
	We would be willing to put a reciprocal link to OleyValleyBiz.org on our website. Contact me with information.
	Please add a link to MapQuest that will display a map to my business address from my listing on the online membership directory.
* Brief Description of Business
I am interested in the following Committees (check all that apply)	Program Political Action Membership Public Relations/Advertising Pleasantville Bridge Community Pot Pie Dinner Mixer Oley Fair Newsletter Website
Hobbies or Skills that may be helpful to other members