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Southampton Business and Professional Association (SBPA)
Membership Form

Membership is open to persons living and working in Upper Southampton or an adjoining township. If you would like to become a member, please fill out the following form and someone will contact you. Dues are $50 per year. If you have any questions regarding membership, please contact Jerry Hill at jhill@homestarrinc.com or mail to: Southampton Business and Professional Association (SBPA), P.O. Box 144, Southampton, PA 18966.

Name of Business:
Address:
Phone:
Fax:
E-mail:
Type of Business:
Person Representing Firm:
Address:
Phone:
Fax:
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