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For all members and prospective members, please fill out the form below. We use this information for your listing on our Member Page. All information may be used unless noted otherwise.

If you have any questions or concerns with your page, or need to make any changes, please email Susan at

Once approved for membership, your page will be added to the site and you will be given a user name and password. This will be used to access member-only pages.

Fields with the red asterisk are required. All other fields are optional. We encourage you to provide as much information as you can! For the photo, you can include a photo of yourself, your location, or your product.

Member Information Form

Fields marked * are required
First Name*
Last Name*
Business Title*
Company Name (as you would like it to appear on our Member Page)*
Email Address for BRBA use*
Email Address for Member Page
Address 1*
Address 2
Do you want your address to show on our Member Page?*
Office Phone*
Cell Phone (if you want it to appear)
Web Address
2nd Web Address (FB, LinkedIn, Blog, etc.)
Company Description (500 characters max)
Photo (recommended size 100 pixels wide)
Logo (recommended size 300 pixels wide)
What are your primary business needs?
What would you like to get from your membership?
How did you hear about the BRBA?
Access Code
Please Enter the Access Code *

Basking Ridge Business Alliance
5 Lyons Mall #325, Basking Ridge NJ 07920
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