Application for Associate Membership Company Name: Brief company description: Contact Person: Position: Address: Mailing Address (if different): Phone Number: Cell Number or Direct Line: Email: Website: Membership Fees Associate Membership Fee = $325 + $16.25 (5% GST) = $341.25 GST #86207 1305 RP0001 Payment Information Payment Method (check box) Credit Card Number Name on card Credit Card (Visa, MasterCard, Amex) Expiry Cheque (enclosed) Security Code Signature Please make cheques payable to the Alliance of Beverage Licensees. Return your completed membership application to ABLE BC: Email: danielle@ablebc.ca | Fax: 604-688-8560 Mail: 948 Howe Street, Suite 200. Vancouver, BC V6Z 1N9. Please note applications for membership shall be promptly considered and the credentials ruled upon by the Board of Directors.