Become a Member Type of Registration* New Renewal Individual or Business Name*Contact Name* First Last Business Type*Accounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsumer GoodsCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechProfessional ServicesQA/Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOtherSpecify Business Type If your business type is not listed above. 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An Active Member has full voting rights and may hold elected office. # Associate Active Membership Adult person of reputable character residing outside or maintaining a place of business outside the territorial limits of Burton Township or Village and within its contiguous townships. An Associate Member has voting rights but is not eligible to hold office. - Regional Active Membership Adult person of reputable character residing or maintaining a place of business outside the territorial limits of Burton Village, Burton Township, and outside its contiguous township, but within the State of Ohio. A Regional Active Member has voting rights but is not eligible to hold office. ^ Business and Professional Membership Adult person who owns, operates, maintains or represents an organization or profession conducting business within the territorial limits of Burton Village or Township. A Business or Professional member has full voting rights and may hold elected office, if he or she meets requirement for Active Membership. A Business or Professional firm holding membership is entitled to one vote and shall designate which shall represent them. Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. If you prefer to print, fill it out, and mail a check, please download this PDF application.
