Membership Application Form

Primary Contact Name

Secondary Contact Name

Business Name

Phone

Address

Website

Additional Business Details

Individual or Business

Individual Membership $30 Business Membership $50 Not-for-profit Membership No Charge

Company Logo

Payment Terms

I understand that there is an annual fee associated with individual and business memberships. If you are submitting as a non-profit, you still need to check this box to be able to submit the form.

We will follow up with you to discuss your membership request and to arrange payment if applicable. Thank you for your interest in the Jarvis Board of Trade!