TBA Membership Application - Please use this Link to download our PDF file
for printing. After filling in the application form, please mail (or email) the completed
application back to us using the info from the Contact Us page.

Membership Application

Date: _______________________________________

Business Name: ___________________________________________

Main Contact and Title: ____________________________________________

Mailing Address: _____________________________________________

Street Address: _____________________________________________

Email: _________________________________________

Website Address: _______________________________________________

Telephone: Fax: ________________________________________________

2 nd Contact: ________________________________________________

Industry Sector: _________________________________________________

# of Full Time Employees: # of Part Time Employees: ____________________________________________

Gross Annual Revenue: $ Annual Membership Fees $ (as per 2005 / 2006 Fee Schedule)
_____________________________________________

I have reviewed the Membership Package for the Tofino Business Association . As a member, I agree to and commit to the values and vision of the Tofino Business Association . It is my understanding that the information outlined herein will be treated strictly CONFIDENTIAL (for office use only).

Signature of Applicant Signature of Referring Member

________________________________________________

Prefer to receive TBA Membership information via:

____ Email ____Fax ____Mail