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 ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. If you prefer to print, fill it out, and mail a check, please download this PDF application.
