Apply | Santa Clarita Valley Business Group

General Information

Referred By

If a member of SCVBG referred you to the group select them from this list. If you were not referred just leave it blank.

Business Category

What category would you business fit into?

Guest Attendance 1

Guest Attendance 2

Company Information

Business Name

Job Title

Business Website

Business Email

Business Phone

Business Fax

Business Address

Address

City/Town

State/Province

ZIP/Postal Code

Services or Products

Think of this as your elevator pitch. What do you offer, how does that set you apart, and why are you the best at what you do?

Does your business carry the appropriate Licenses?

Yes

Please explain why your business does not carry the appropriate licenses

Does your business carry the appropriate Permits?

Yes

Please explain why your business does not carry the appropriate Permits

Does your business carry the appropriate Insurance?

Yes

Please explain why your business does not carry the appropriate Insurance

Who will own the membership?

Company

Individual

Social Media Accounts

Put your Facebook, Instagram, LinkedIn and other social media account URLs here.

Social Media Accounts
Social Media Accounts
Social Media Accounts

Billing Info

Is your billing info different from the above business info?

Billing Address

Address

City/Town

State/Province

ZIP/Postal Code

Billing Email

References

Reference Name	Reference Business Name	Reference Phone Number
Reference Name	Reference Business Name	Reference Phone Number
Reference Name	Reference Business Name	Reference Phone Number

Please add a minimum of 2 business referrences.

Personal Information

First

Last

Birth Date

Home Phone

Mobile Phone

Member Email

Member Home Address

Address

City/Town

State/Province

ZIP/Postal Code

Member Alternate

Name of the person who can attend in your place.

Member Alternate
Member Alternate

Commitment Summary

Please review and place a check next to each item to make sure you are aware of our expectations of members in this organization.

Commitments

Give the minimum of 5 monthly referrals

Agree to pay all dues, fines, or fees when due

Attend a New Member Orientation in the first 2 months

Read, understand and abide by SCVBG bylaws

Use fellow members whenever possible

Miss no more than 3 meetings per quarter

Attend the mandatory Socials

Maintain all required business licenses/permits/insurance

Signature

By signing your full name in the box above, you understand the fees as follows: Initiation Dues of $200.00, Renewal Dues $0.00, Quarterly Dues $175.00, Social Fees at varying costs. I understand that these prices are not fixed and are subject to change at any time.

I Agree

By submitting this application, I have read and understand the above written standards and certify that all of the above information is true and correct.