associate membership application form

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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.
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