IMPORTANT: This IBN Membership Application Form is for US members only.
Canadian members, use this application.

  • Please share the name of the primary owner of the business. If the business is co-owed by two or more people, please include one name and contact us to update the directory with complete information once membership has been processed.
  • Use this field to add the name of the co-owner if the business is owned by more than one person.
  • This makes it easier for us to promote your business.
  • This makes it easier for us to promote your business.
  • This makes it easier for us to promote your business.
  • This makes it easier for us to promote your business.
  • This makes it easier for us to promote your business.
  • This makes it easier for us to promote your business.
  • MM slash DD slash YYYY
  • From time to time, we promote both IBN and our members on IBN's social media accounts, thus expanding our collective sphere of influence and giving more people access to your brand. To do this, we may re-post videos and photos shared on your business-branded social media accounts to IBN's social media accounts. We always tag you, of course, and include copy that drives new customers to your profile or site. We may also use any content you share that discusses your experience with IBN or IBN-related products. This exposes your product line to thousands of potential customers who may not otherwise ever know about your brand!
  • Now that you are an Indie Business Network® member, we want to know what we can do right now, in this moment, to make your day even more special. What's your special request? We'll get right on it!
  • Indie Business will send or share the data on this form with InfusionSoft.