BSC Owners Association

Join BOA

Membership Form

All franchisees of the BrightStar Care brand are eligible for membership in the BOA. To apply for membership, please fill out and submit the form and payment below.

Name(Required)

Signatory of the Franchise Agreement

First Last

Initiation Fee Payment Options(Required)

Choose how you’d like to pay your $5,000 Initiation fee. This 10-year membership can be paid anually or monthly - with no additional fees.

Annual Payment – $500 / per year (10 years)

Monthly Payment – $41.67 / per month (120 months)

Annual Membership Dues:(Required)

Please select the box that corresponds to the number of territories you own.

1 Territory: $500

2 Territories: $575

3 Territories: $650

4 or More Territories: $725

Are you the signatory of the Franchise Agreement?(Required)

Yes

Year in which you executed your initial Franchise Agreement?(Required)

Franchisee of Record Primary Email Address(Required)

Franchisee of Record Primary Phone Number(Required)

Partners

Partner First Name

Partner Last Name

Partner's Email

Legal Company Name(Required)

If you have multiple legal entities, click the + button to add them one at a time.

List Your Company DBA(s)

Ex. BrightStar Care of [Location Name]

Company Bill to Address

Street Address Address Line 2 City State ZIP Code

This field is hidden when viewing the form

Personal Email(Required)

This field is hidden when viewing the form

Personal Cell Number(Required)

Credit/Debit Card Authorization

By checking this box, you acknowledge and authorize the BOA to charge your credit/debit card for your membership dues — based on your number of territories — as well as the initiation fee monthly payments, using the credit/debit card information provided below.

If you wish to cancel your membership and remove your card from file, you must email info@bscowners.com to request cancellation.

Comment or Message

Create Your BOA Account by Filling Out and Submitting the Information Below

Username(Required)

Email(Required)

Password(Required)

Enter Password Confirm Password