Sign Up Today

Sign up today in two easy steps.

STEP ONE:
Complete the form below.

STEP TWO:
Use the "PROCEED TO STEP 2" button AFTER you submit the form and complete payment.

A representative will contact you after we receive your payment to confirm your membership.

If you need a Purchase Order you may print this form:

PassEDA Membership ApplicationV2

Then fax that to us during business hours or mail it to our P.O. Box with your payment a representative will call you after receiving your paperwork.

Phone: 951-312-7501

EIN # 81-3928946

Mail: PO Box 424, Beaumont, CA 92223

STEP 1:
ONLINE FORM

- CONTACT INFO -

Name: (required)

Title: (required)

Organization/Company: (required)

Division: (required)

Your Email (required)


- ADDRESS 1 -

Mailing Address: (required)

City: (required)

State: (required)

Zip: (required)


- ADDRESS 2 -

Billing Address Address: (required)

City: (required)

State: (required)

Zip: (required)


- CALLING PREFERENCES -

Phone: (required)

Ext.:

Cell: (required)

Permission to text (required)
YesNo

- MEMBERSHIP LEVEL -

Select one option: (required)


- ADDITIONAL INFORMATION -

Why do you want to join PassEDA?

Do you favor economic development in the Pass?

What is the most important economic development issue in the Pass?

What services/events can the PassEDA do for you?

If a company, do you plan on growing this year?

Comments:


NOTICE: After submitting this form you must follow to step 2: Purchase Membership and complete payment to complete your membership application. Click the "PROCEED TO STEP 2" button Below.