EBA Full Membership - Business

Business details

Street address of business

Note that your business premises must be located within the defined Ellerslie Business Improvement District (view map here) in order to be eligible for membership of the Ellerslie Business Association. If you are outside that area, you may apply for Associate membership.

Business name

Business postal address

Business phone number

Business email address

Business website address

Business Facebook and/or Instagram page

I / We consent to our business website, phone number, email address and social media details being published on the Ellerslie Village website (including as a directory listing).

Nominated contact person

Name of your nominated primary contact person

Primary contact's job title

Primary contact's email

Primary contact's phone

Name of your nominated secondary contact person (if applicable)

Secondary contact's job title

Secondary contact's email

Secondary contact's phone

General business details

Number of staff

Declarations

Name and job title of the person completing this application form

I am duly authorised by the business named above to complete this form and apply for membership of the Association.

I / We hereby apply to become a member of the Ellerslie Business Association and agree to abide by the terms of the constitution of the Association

I / We consent to receiving newsletters, promotional emails and other communications from the Ellerslie Business Association.

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Ellerslie Business Association

EBA Full Membership - Business

Business details

Nominated contact person

General business details

Declarations

Apply for Full Membership as a business