Professional Membership Form

Inn Name *

Innkeepers' Names *

Owners' Names *

Inn Address *

Address Line 1

Address Line 2

City

State

Zip Code

Website *

Email Address *

Business Phone Number *

Year Opened *

Upload Documentation to this Form *

Click or drag files to this area to upload. You can upload up to 5 files.

You are required to upload the following documentation to this form:
•Business License
•Health Dept. Permit Issue/Expiration date
•Virginia Sales Tax Certificate
•VABC # (if necessary)
•Commercial Liability Insurance Policy

Confirmation: I have included all applicable documentation in this form. *

Payment Confirmation *

I have written a check for $150 to Bed & Breakfast Association of Virginia and will mail it to the address below.
I will contact the Treasurer, Amy Demetry, amydemetry@yahoo.com, to pay $150 via credit card.

Mail Check to:
Bed & Breakfast Association of Virginia
Amy Demetry, Marl Inn Bed and Breakfast
220 Church Street
Yorktown, VA 23690

Membership fees are nonrefundable.