Serving the Rights of Bars, Restaurants, and their Patrons!
MEMBERSHIP APPLICATION
Please print our membership application and return it with payment to the address on the form, or simply fill out your information below and an ILBA represenatitive will contact you to complete the application process.

PRINTABLE ILBA MEMBERSHIP FORM
(Adobe Acrobat Reader Required)


Please provide the following contact information:

  Name On Permit:
Name Of Business (DBA):
Permit Address:
City:
State/Province:
Zip/Postal Code:
Permit Number:
Business Phone: ext:
Other Phone: ext:
Fax:
Contact Name 1:
Contact Name 2:
Email:
Web Site:
Would you like a link to your web site from the ILBA web site? Yes
No

Please provide the following additional information:

Home Address:
City:
State:
Zip/Postal Code:
Home Phone:
FORM SUBMITTED BY:

DUES STRUCTURE
Membership Dues $220.00/yr (Includes National and State of $195 and Local of $25)
Optional Lobby Fund $25.00/yr (Amounts larger than suggested are welcome)
Total Suggested Payment $245.00/yr  
*The above amounts will be invoiced to the address on the application.  Your ILBA Membership will go into effect upon payment of your Membership Dues.
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ILBA Benefits
Member Discounts and Corporate Sponsors
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Online Application to Join the ILBA
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Calendar and Raffle
ILBA Board Members
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