Become a Member Please complete this form to make sure we have the most accurate information for CBC membership. Fields with an asterisk (*) are required and must be completed for the form to be accepted and processed. First Name* Please enter your first name hereLast Name* Please enter your last name hereCompany Name The name of your company, business or practiceBusiness Address Address Room or Suite City State Zip Code Please enter the city and state of your company's locationEmail* Please enter the best email address for us to contact you during business hoursPhone*Please enter the best phone number for us to reach you during business hoursHow did you hear about us?* Irie Jam 93.5 FM Radio Networking Event CBC Website CBC Member (enter CBC Member Name in field below) Referring CBC Member Enter the name of the member through whom you heard about CBCProfession or Industry* Accounting/Finance Attorney/Legal Computers/Technology Architecture/Design Sales/Retail Health Care/Medical Restaurant/Food Services Gym/Spa/Fitness Cosmetics/Beauty/Hair care/Nails M/WBE Certification Yes: my business is M/WBE certified No: my business is not M/WBE