BECOME A MEMBER OF
THE HAMILTON ROAD AREA BUSINESS ASSOCIATION

Print this page off your browser. Please drop off or mail your completed application form and a cheque or money order to the address on the contact page OR bring it to the next monthly meeting and give it to Joyce Dust or Chris Hawcutt(Treasurers). Membership costs $50/year.

COMPANY / BUSINESS NAME: ___________________________________________

CONTACT PERSON

Name: ________________________________________________________________


ALTERNATE CONTACT (if any)

Name: ________________________________________________________________

Address: ___________________________________________

City: ____________________ Province:_________________ Postal Code: _______

Phone: ____________________ Ext: _________ Fax: ____________________

E-mail:

Your URL:

Membership in other clubs/associations?

_________________________________________________________________

Brief History of Company: ___________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Signature: ________________________________________ Date ___________

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