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Joondalup Business Association

MEMBERSHIP APPLICATION

Annual Membership Fee: $330

Monthly payment subscription option: $27.50 (based on 12 month membership)

*-required fields

Membership Application

Business / Organisation Name *(Required)

Trading Name (if applicable)

ABN *(Required)

Industry Category *(Required)

Location Address *(Required)

Suburb *(Required)

Postcode *(Required)

Mailing Address (if different from above)

Business Phone No *(Required)

Mobile No

Email Address *(Required)

Email Address for Payment Notification (if different)

Website (if applicable)

Business Licence Details (if applicable)

Business Start Date or Year

Team Size

1 - 10

11 - 20

Over 20

Names of Member Representatives and Positions

First Name *	Last Name *	Position *	Actions

There are no Entries.

Specific Businesses

Are there any specific businesses or industries you would like to connect with to benefit your business?

Why have you joined the JBA

Why have you joined the JBA, and what would you like to achieve by being part of our business community?

Business References

Please provide two business references - these must be from someone who has known you in a business relationship for more than 12 months. (Or, if you are a relatively new business, two character references.)

Unsure – Need assistance

Unsure – need assistance

Business Reference 1

Name

Position

Business

Mobile No

Email Address

Business Relationship

Business Reference 2

Name

Position

Business

Mobile No

Email Address

Business Relationship

Terms and Conditions *(Required)

Terms and Conditions *

By pressing “Submit & Proceed to Payment” I am hereby applying for membership to Joondalup Business Association Inc. In the event of my acceptance by the Association, I agree to abide by the Constitution and Rules of this Association, which govern the application for membership and ongoing membership of the Association. I further acknowledge that, as a member, my business details will be available to all members.