Vermont Businesses for Social Responsibility

Join VBSR

Please fill out the secure membership form below. Required fields are marked with an asterisk (*).

Please note: If you are trying to renew your current VBSR membership, please log in and use the membership renewal form.

Please Note: This online form can only be used if you plan on paying with a credit card (Visa or Mastercard).

If you would like to pay by check PLEASE CLICK HERE TO DOWNLOAD A PRINTABLE VERSION OF OUR MEMBERSHIP FORM.

* Company Information

* Contact First Name * Contact Last Name * Title * Company

If you are a student or an individual, please enter your full name in the "Company" field.

* Address

* City * State * County * Zip * Phone Fax Email Web Address

No Mail Please

No Email Please Please note: VBSR sends twice monthly ENews and announcements for upcoming events via email.

No Member to Member Communication

Company Description

VBSR uses this information to help encourage business between members.

Please note: If you are a student or an individual, there is no need to provide the information in this section, as it will not be listed.

Business Description Number of Employees Business Category

Select up to 5

* Annual Member Dues

VBSR thanks you for your dues - your support enables us to do our work! Please make sure to find the correct dues category and pay the appropriate amount.

Individual Membership Levels ("individual" levels of membership are not eligible for health insurance)

$30 - Student - For Full and Part Time Students of Accredited Institutions
$100 - Friend - Individual membership and start-up businesses (start-up businesses will be eligible for the $100 rate for the first 2 years)
$200 - Basic Member - Small companies or organizations
$500 - Basic Member - Medium to large sized companies or organizations
$1,000 - Gold Member - Established and successful companies or organizations
$5,000 - Champion - Our sustaining members!

Make a tax deductible donation

Thank you! Your tax-deductible donation supports our educational and research activities.

$100
$250
$500
$1000
other:

Additional ways to support or get involved with VBSR

I would like to be contacted about the following:

Offer a member discount:
Get involved in public policy and advocacy
Learn more about joining a committee
Place an ad in our member directory
Become a member of Local First Vermont
Be a mentor for another VBSR member business
Get mentored by another VBSR member (List your top 2 areas you would like to be mentored in):

* Payment Information

* Credit Card Type * Credit Card Number * First Name on Credit Card * Last Name on Credit Card * Address * City * State * Zip * Expiration

Deferred Payment Option

Bill me quarterly
If you choose to be billed quarterly, your credit card will be billed four equal amounts spread out over a one year period (once every 3 months), with the first payment being charged immediately. Please note that any donation will be charged separately.

* VBSR Mission

* Our Mission

Our mission is to foster a business ethic in Vermont that recognizes the opportunity and responsibility of the business community to set a high standard for protecting the natural, human, and economic environments of our citizens.

I have read and agree with the mission of VBSR.
I acknowledge that no portion of my dues is refundable.

To complete your transaction please press the "Join VBSR Now" button ONLY ONCE!
Pushing this button multiple times may result in an error message.

Champion Members!