SRBA ONLINE MEMBERSHIP APPLICATION

IF YOU PLAN TO PAY BY CREDIT CARD ONLINE, PLEASE EMAIL THIS FORM TO

SERETAILBAKER@GMAIL.COM OR FAX TO 877-221-3662

SO WE CAN MATCH IT UP WITH YOUR ONLINE PAYMENT.

The SRBA Membership year starts in January and ends in December.  If you are joining our organization for the first time or have been absent for more than one year, please use this guide and the month you join for your payment. 

Your membership will expire Dec 31.  Dues for the follow year will be $100 for your Bakery/Company.

At this time we do not have Culinary Instructor or Student Memberships.

Jan-Mar

April

May

June

July

Aug

Sept

Oct

Nov

Dec

$100

$90

$80

$70

$60

$50

$40

$30

$20

$10

If you register

in this month

 

You Pay

 

SRBA Membership Application

Please add SERETAILBAKER@GMAIL.COM to your Email Contacts

 

BAKERY / COMPANY: _____________________________________________    PHONE: (____) ___________________

If Bakery, when did your store open? (date) _________________________/ Biz Lic #__________________________

ADDRESS: ______________________________________________  EMAIL: __________________________________

CITY: ________________________________________   STATE: _________   ZIP: __________________

 Owner(s)/Member:          

___________________________________________         ____________________________________________

 

Date of Application  ______________________________                                          

Dues (use table to determine rate)  $___________________

                       

 

You can pay by credit card either online through the SRBA Square Up Market, by calling the SRBA Office, or at the event. 

At the Square Up Market, you’ll add your selections to the cart and check our securely. 

The SRBA Office needs this form to match up to any payment.  Please email or fax it to the contact below

 

https://squareup.com/market/southeastern-retail-baker

If you plan to pay on arrival, you are not eligible for Early Bird savings.

 

Charges will appear as SOUTHEASTERN RETAIL BAKERS ASSOCIATION.  Receipts are emailed from the SRBA Office –

SERETAILBAKER@GMAIL.COM  Please be sure you have a legible email address.

FAX – 877-221-3662    MAIL – 5253 JANICE CIR S, JACKSONVILLE, FL  32210     CALL (904) 389-7684 FOR MORE INFO