MEMBERSHIP APPLICATION

One Time Joining Fee: $50

Annual Membership Fee: $375

Monthly payment subscription option: $35.00 (based on 12 month membership)

*-required fields

First Name *Last Name *Business / Organisation Name *Trading Name (if applicable) ABN *Industry Category *Location Address *Suburb *Postcode *Mailing Address (if different) Business Phone No *Mobile No Email Address *Email Address for Payment Notification (if different) Website (if applicable) Business Licence Details (if applicable) Business Start Date or Year Team Size

1 - 1011 - 20Over 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? Why have you joined the JBA, and what would you like to achieve?

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

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 *

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.

I accept the Terms and Conditions