New Member Application

To submit your application, please complete the online form below.
A PDF is available for download if you prefer to complete your application offline.

Download/Print Application

Step 1 of 3

This section for membership account contact information. Business/Company information is entered on the next page.

Name of Applicant(Required)

First Middle Last Suffix

Account Email(Required)

Your SBMCJax.com website user login.

Enter Email Confirm Email

Your Club Sponsor(Required)

Are YOU actively engaged in business in South Jacksonville?(Required)

Yes

Are YOU a property owner in South Jacksonville?(Required)

Yes

Member Phone(Required)

Member Phone 2

Member Address(Required)

Member Street Address Member Address 2 Member City Member State Member Zipcode

Birthday: Month(Required)

Member Birthday: Day(Required)

Member Spouse First Name

Tell us about your business.

Name of Business/Company(Required)

Type of Business(Required)

Keywords

Single words or short phrases one would enter to search for services your business provides.

Business Website

MUST include: "https://". ex: https://mywebsite.com

Business Email

Business Phone(Required)

Business Extension

Business Fax

Business Address

Business Address Business Address: Suite Business City Business State Business Zip

How NAME and COMPANY should appear on member badge.(Required)

Image Uploads

Upload your member profile picture.

Profile Image

Give fellow members a good way to recognize you. An above-the-waist type photo works best.

Accepted file types: jpg, jpeg, gif, png, Max. file size: 5 MB.

Membership Level & Payment

Choose you membership and submit payment.

Membership Level(Required)

Individual Membership: Total: $325.00 (Membership: $225 +$100 One-time initiation fee)

Corporate Membership (2 Members): Total: $425.00 (Membership: $325 +$100 One-time initiation fee)

Alternate Member Information

For an alternate/approved company representative.

No Alternate

Yes. Use/add an alternate/approved company representative.

Alternate Name

First Middle Last Suffix

Alternate Member: Phone

Alternate Member: Phone 2

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Image Uploads

Membership Level & Payment

Navigation

Member Links

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