New Member Application

Business Name *

Business Category * Select OneAdventure CenterAdvertising & MediaArts & GalleriesATVingBoating, Kayaking, & Paddle BoardingBreakfastBusiness & Professional ServicesCampsCommunity OrganizationsContractorsCulture & HistoryDINEDinnerFashionFat & Ski BikingFinance & InsuranceFishingGifts & SouvenirsGolfing & TennisGovernment & EducationHealth & BeautyHiking & BackpackingHome & GardenHorseback RidingHotelsInnsKids ActivitiesLunchMade in VTManufacturing & ProductionMountain BikingMusic & EntertainmentPLAYReal Estate & MovingRental & GearRentalsRoad & Gravel BikingRock ClimbingSERVICESSHOPSightseeingSkiing & SnowboardingSnow ShoeingSnowmobilingSpa & FitnessSTAYTake-outTours & GuidesTubing & Sleighs

Billing Address *

City *

State/Province *

Zip/Postal Code *

Country *

Email *

Phone Number *

Use this billing address as my business address.

First Name *

Last Name *

User Name *

Password *

Membership Level *Sponsor: $Enhanced: $Microbusiness: $Basic: $Trade: $

Total Due:

Payment Method:  PayPal
 Check

Terms & Conditions Statement: Data submitted through this form will be used for the purpose of creating your directory listing. Please see our Privacy Policy for more information on how we protect and manage your data.