New Member Application

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New Member Application

Ready to join the ILBA? Please fill out the ILBA membership application completely and proceed to pay the accompanying membership dues. Completing the process will grant you access to members only sections of the website as well as make you eligible to receive all the ILBA member benefits.

Note: This application is for New Members Only.

CREATE LOGIN CREDENTIALS

Note: Passwords must be a minimum of 6 characters in length, contain numbers and characters, characters must be both upper and lower case

Username *

Password *

Repeat password *

CONTACT INFORMATION

First name *

Last name *

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip *

Mailing Phone *

E-Mail *

BUSINESS INFORMATION

Business Name *

Business Address *

Business City *

Business State *

Business Zip *

Business Phone *

Website

Referred By

Choose your plan:

ILBA Membership Dues - 1 Location $250.00 for 1 year
Become an ILBA Member and help control the future of your business.
ILBA Membership Dues - 2 Locations $200.00 for 1 year
*2 locations at $200.00 per Location - 20% Discount
ILBA Membership Dues - 3 Locations $187.50 for 1 year
*3 locations at $187.50 per Location - 25% Discount
ILBA Membership Dues - 4 Locations $175.00 for 1 year
*4 locations at $175.00 per Location - 30% Discount
ILBA Membership Dues - 5 Locations $162.50 for 1 year
*5 locations at $162.50 per Location - 35% Discount
ILBA Membership Dues - 6 Locations or More $150.00 for 1 year
*6 locations or more at $150.00 per Location - 40% Discount