APPLICATION & PAYMENT

New members may either complete the online registration form located below and submit secure payment via the web, or download a copy of the application (link provided at the bottom of the page) and remit with payment to the address listed on the application form.

Merchant Information



 

Primary Contact



 

Type of Business

 

Number Of Locations

Membership to the HBA costs $250.00 per year for a single location operator. For operators that wish to sign up more than one location, a discounted rate of $125.00 will be assessed for every location after the first full-price membership. If you wish to leave any special notes regarding the additional locations, please do so in the field provided.