Industry Partner Membership Form

Contact Name *

Business Name *

Describe Product or Service *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email Address *

Website *

Payment Confirmation *

I have written a check for $75 to Bed & Breakfast Association of Virginia and will mail it to the address below.
I will contact the Treasurer, Amy Demetry, amydemetry@yahoo.com, to pay $75 via credit card.

Mail Check to:
Bed & Breakfast Association of Virginia
Amy Demetry, Marl Inn Bed and Breakfast
220 Church Street
Yorktown, VA 23690

Membership fees are nonrefundable.