Join the East Colfax Community Collective's Business Membership!

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Contribution Information

Select "recurring" below ($20) Yearly membership dues ($240) $500 $750 $1,000 $2,000 Other $

Make this recurring contribution Frequency (Optional) Monthly

I'd like to help cover the transaction fees for my donation. My total amount will be $248.65.

Contact Information of Business Owner

First Name Last Name

Preferred Language

Sexual Orientation Race Ethnicity

Street Address

Postal Code City State

Email Home Phone (Optional) Mobile Phone

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By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages.

Yes, sign me up for email updates.

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Payment Information

Card Number

Expiration Date

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Small Business Contact Information

Business Name

Full Business Address

Business Website

Do you pay rent or do you own your property?

Rent

Own

Business Type/Industry

Year Established?

Why are you interested in EC3 Membership?

What services or policies would benefit your business most?

Your donation will be securely processed.

Thank you for your interest in joining the East Colfax Community Collective's (EC3's) Business Membership. Please fill out this form to join the EC3.

All proceeds from membership dues will go towards the East Colfax Small Business Relief Fund, a small business driven grant program aimed at stopping our local businesses from being displaced!

Please choose the recurring donation option if you prefer to contribute $20.00/month rather than pay the yearly contribution all at once.