Step 1 of 6 16% HiddenCompany Information APPLICATION BASICS HiddenDate* MM slash DD slash YYYY COMPANY NAME* Category of Membership*I would like to be considered for the following category of membershipAccounting & Tax AdvisoryAdministrative Services Organization-ASOAdvertising FirmAirlineAmusement ParksApartments/Corporate LivingAppliances Wholesaler/RetailerArchitectArchitectural Cabinetry & MillworkAssisted LivingAssociation Management CompanyAudio Video IntegrationAudio VisualAutomotive Sales & LeasingBankBehavior Health Service ProviderBeverages – Beer DistributorBeverages – JuicesBottled Water DistributionBuilding/Facilities ManagementBusiness BrokerBusiness CoachingBusiness ConsultantBusiness FormsBusiness IntelligenceCable ProviderCablingCall CenterCar WashCareer DevelopmentCasinoCateringCellular Cost ReductionCellular Phone RetailerCharter Airline ServiceChiropractor – PA SuburbsChiropractor-PhiladelphiaCoffee ServicesCommercial GlassCommercial Loan BrokerageComputer HardwareConstruction ServicesConstruction- Commercial LargeConstruction- Commercial MidsizeConstruction- ResidentialConsulting ServicesContent MarketerConvention/Expo. CenterCorporate Accommodations/HousingCorporate EntertainmentCorporate Incentive TravelCorporate TrainingCorporate WellnessCosmetic & Aesthetic MedicineCourier ServiceCredit UnionCRM Integration and AdministrationCustom ClothierCustom Pools & SpasCyber Security – Management & MitigationData CenterData Recovery & BackupDebt Collection AgencyDelivery ServiceDental Group PracticeDestination HotelDestination Management CompanyDirect Marketing ProductionDoctor Group PracticesDocument & Information DestructionDocument ManagementDocument WorkflowE-Commerce PlatformEco Friendly Cleaning ProductsElectrical ContractorElectrical Manufacturing & SupplyElevator ServicesEmployee BenefitsEmployment Screenings & TestingEnergy ProcurementEngineeringEngineering – CivilEngineering – MechanicalEngineering – StructuralEnterprise resource planning (ERP) IntegratorEnterprise resource planning (ERP) PlatformEntertainmentEntertainment VenueEnvironmental ServicesEvent PlanningEvent Venue/Banquet FacilityExecutive AdvisorExecutive Career Transition CoachingExecutive Office FacilitiesExecutive SearchExpense ReductionFacilities ManagementFitness EquipmentFitness FacilityFlooringFloristFood Services ProviderForensic AccountingForensics E-DiscoveryFork Lift CompanyFreight CompanyFuneral CompanyGift Baskets & Corporate GiftsGolf CourseGourmet Desserts & PastriesGreen Company – Energy OptimizationGreen Company – RecyclingHardscapingHardware EngineeringHealth Care Education- Health/WelnessHealth Care ProviderHealth Care RehabilitationHealth Insurance ProviderHealthcare and ServicesHeavy Construction EquipmentHome AutomationHome BuilderHome HealthcareHome Specialty ProductsHospitalHospital – SpecialtyHotelHR ConsultingHRO/PEOHuman Capital Business ConsultingHuman Resource OutsourcingHVAC – Residential and CommercialImage ManagementIndustrial Equipment SupplierInsuranceIntegrated Direct MarketingInterior DesignInterior Plant DesignInternal Theft & Loss PreventionIT Managed ServicesIT StaffingJanitorial ServicesJewelerLand DeveloperLandscapingLaw FirmLife InsuranceLighting Distributor & ManufacturerLinen RentalLobbyistMachineryMailing and Shipping SolutionsManufacturingMarketingMarketing Automation PlatformMasonry & StoneMaster of CeremoniesMedia – Business MagazineMedia – Business PublicationMedia – OutdoorMedia – PrintMedia – RadioMedia- TelevisionMedical ConciergeMedical Equipment & SuppliesMeeting & Event SpaceMerchant Card ProcessingMergers & AcquisitionsMinor League Sports TeamMortgage BankerMotivational/Inspirational SpeakerMoveable Wall SystemsMoving & StorageMuseum / Historical SiteNon-Profit ManagementOffice EquipmentOffice FurnitureOffice SupplyOphthalmologist Group PracticeOtherPackaging Supplies & EquipmentPainterPayroll ServicesPerforming &Non-perf. Note InvestmentsPersonal ConciergePest SolutionsPharmaceuticalPharmacyPhotographyPlastic Surgery Group PracticePrinting ServicesPrivate Equity FirmPrivate InvestigatorProfessional Sports TeamPromotional Products & AwardsProperty & Casualty InsuranceProperty Inspection – Residential & CommercialProperty ManagementProperty RestorationPublic AdjusterPublic RelationsPublic UtilityReal Estate – CommercialReal Estate – DeveloperReal Estate – Residential NJReal Estate – Residential PA SuburbsReal Estate – Residential PennsylvaniaReal Estate – Residential PhiladelphiaReal Estate AppraisalsReal Estate Investment FundRefreshment & Vending ServicesRelationship MarketingRelocation ServicesRental CarReprographicsResort & Hotel – DestinationRestaurant – Southern New JerseyRestaurant – Center CityRestaurant – PA SuburbsRoboticsRoofingSales TrainingSalesforce Integration and AdministrationSBA LendingSecurity PersonnelSecurity Systems IntegratorSelf Directed IRA AdministratorShipping"Sign Fabrication, Installation & Maintenance"Social Media AgencySocial Media Monitoring PlatformSoftware DevelopmentSolar/Renewable EnergySpa and SalonSpeakers BureauSports & Entertainment AgencySports & Entertainment FacilitySports FacilitySprinklerStaffingStaffing- Temp/AdminStorageStorage and Document SolutionsSupplemental InsuranceSupply Chain ManagementTeam BuildingTelecommunicationsTennis FacilitiesTicket BrokerTitle ServicesTrade Show Displays & ServicesTraining – LeadershipTransit AdvertisingTranslation and Interpretation ServicesTransportation – Ground/LimoTransportation-Coach / BusTravel AgencyTree ServicesTruck LeasingUniforms & Corporate ApparelUniforms ManufacturerUniversityUniversity: AthleticsUniversity: Business School / MBAUniversity: Continuing EducationUniversity: UndergraduateUtilitiesUtility Supplier – EnergyUtility Supplier – Gas & OilVehicle LeasingVendor Facilitator/AggregatorVenture Capital FirmVideo & Multimedia ProductionVirtual and Augmented Reality (VR & AR)WarehousingWaste Removal and ManagementWater HeatersWealth Management & Financial PlanningWebsite Marketing & DesignWindow CleaningWireless and Broadband ProviderWomen's ClothierWorkforce DevelopmentWorkforce Efficiency PlatformOther Category If you chose other, please list the category Nominated for membership by* APPLICANT CONTACT INFORMATION HiddenApplicant Contact InformationYour Name* First Last Job Title* Email* Phone*Company Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Website* Additional Decision Makers*Are there any other Decision Makers from your company that will be going through the Application Process? Yes No Name* First Last Job Title* Phone*Email* COMPANY STRUCTURE HiddenCOMPANY STRUCTURE Structure* Sole Proprietorship Partnership Corporation S-Corporation Limited Liability Company WHO ARE THE EQUITY SHAREHOLDERS/PARTNERS LISTED FOR YOUR ENTITY?*If you are an equity shareholder, don’t forget to include yourself. Click the plus icon on the right to add additional shareholders.First + Last NameEquity % OPERATING DETAILS HiddenOPERATING DETAILS WHEN WAS YOUR COMPANY LEGALLY EST? HOW LONG HAS YOUR COMPANY BEEN OPERATIONAL? ANNUAL GROSS SALES FOR ENTIRE COMPANY* ANNUAL GROSS SALES UNDER YOUR DIRECT RESPONSIBILITY NO. OF FULL-TIME EMPLOYEES* NO. OF ADDITIONAL EMPLOYEES WHAT IS YOUR COMPANY'S PRIMARY CORE BUSINESS PRODUCT/SERVICE?PLEASE PROVIDE ANY ADDITIONAL INFORMATION (MISSION STATEMENT, AWARDS, RANKINGS) FOR THE BOARD'S REVIEW.Supporting Documents Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 5. Feel free to upload any supporting documentsHiddenOLD Supporting DocumentsAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Feel free to upload any supporting documents THIRD PARTY VERIFICATION If application is approved, all candidates for membership are subject to third-party verification. Please provide the contact information for the person who can complete this third-party verification*Name Title PhoneEmail *Third-party verification is required prior to joining BCA to authenticate the information provided by the applicant, verification includes a credit check. A third party is defined as the qualifying company’s CPA, chartered accountant, independent auditor or another external qualified source as approved by the BCA Board. AUTHORIZATION By signing this document, you are expressing interest in becoming a member of BCA and requesting approval by the Board to officially interview for membership. APPLICATION IS NOT BINDING and can be withdrawn, declined or pulled at any time. Membership Application is valid for six (6) months. Completing the BCA application is the first step toward exclusive BCA Membership. Should your application fit all the basic criteria (1) for membership, your application will be approved to proceed to the Interview phase. SignaturePlease Type Name of Signer CAPTCHA (1) Basic Criteria for membership: 1. Locally headquartered company 2. Decision making must be centrally located within the area, with decision maker* residing locally. 3. Financially sustainable and viable company, minimum 2 years in business 4. Ethical and integral, company void of any serious moral or legal issues 5. Category applying for is currently open (if category conflict is unclear, application may be approved to interview, allowing for time to determine if category exclusivity is truly infringed by applicant)
