THANK YOU FOR YOUR INTEREST IN JOINING OUR CAUSE Account Information First Name: Last Name: Your Company: Business Address: Why did you join Small Biz Cares? Email: Names and email addresses of those who would like to receive email communications from Small Biz Cares: Provide a statement on the value of small businesses getting involved in philanthropy and community impact: How can Small Biz Cares best support your organization?: Volunteers Fundraising Awareness Password: Phone: Billing Details Credit Card: Security Code: Expiration Date: (01) Jan(02) Feb(03) Mar(04) Apr(05) May(06) Jun(07) Jul(08) Aug(09) Sep(10) Oct(11) Nov(12) Dec202120222023202420252026202720282029203020312032203320342035203620372038203920402041 Billing Address Address: City: State: Please select your stateAlabamaAlaskaAmerican Samoa (see also separate entry under AS)ArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuam (see also separate entry under GU)HawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana Islands (see also separate entry MP)OhioOklahomaOregonPennsylvaniaPuerto Rico (see also separate entry under PR)Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Minor Outlying Islands (cf. separate entry UM)UtahVermontVirgin Islands of the U.S. (see also separate entry VI)VirginiaWashingtonWest VirginiaWisconsinWyomingOther… Zip: Country: United States Shipping Address Shipping Method: Shipping is the same as billing Address: City: State: Please select your stateAlabamaAlaskaAmerican Samoa (see also separate entry under AS)ArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuam (see also separate entry under GU)HawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana Islands (see also separate entry MP)OhioOklahomaOregonPennsylvaniaPuerto Rico (see also separate entry under PR)Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Minor Outlying Islands (cf. separate entry UM)UtahVermontVirgin Islands of the U.S. (see also separate entry VI)VirginiaWashingtonWest VirginiaWisconsinWyomingOther… Zip : Country: United States Coupons Apply Coupon Investor Choose a Membership PlanBasic Membership (Yearly)Basic Membership (Monthly)Investor Membership (Yearly)Investor Membership (Monthly)Leader Membership (Yearly)Leader Membership (Monthly) As an Investor of Small Biz Cares, you’re known by your peers as someone involved with non-profits and have donated resources to causes you care about. Recognition on Website Event Recognition Share your business’s social impact story through the Small Biz Cares social media and digital platforms Access to content and stories of small businesses and nonprofits in our community Free or discounted admission to events Special experiences and events Provide input on community causes and organization initiatives Opportunity to be a Small Biz Cares Ambassador Opportunity to be a Small Biz Cares Board Member Membership Dues: $500.00 Discount: Total Dues: Optional Donation: Please consider donating to Small Biz Cares.