Membership Form

We are so thankful that you have decided to join SiMA.  Please complete the information below so that we may process your registration.

If you are human, leave this field blank.

How did you hear about SiMA?

Business Name *

Business Owner *

Contact Name *

Business Address *

Website Address

Mailing Address (if different from business address)

Business Category Suggestion Auto & Marine Business Services Dining Home Personal Services Shopping

Hours of Operation

Email Address *

Phone Number *

Fax Number

50 Word Description of Your Business *

If you have a business logo, please upload it here.

Drop a file here or click to upload Choose File

Maximum upload size: 33.55MB

Membership Level

Small Business (1-15 Employees)

Large Business (16+ Full Time Employees)

Locally Owned Franchise

Premier Business

Sustaining Member

Non-Profit Member

Total Due

How would you like to pay for your membership dues? * Check Credit Card ACH