EBA Full Membership Form | Ellerslie Business Association

Ellerslie Business Association FULL Membership Form

If you’re a business located in Ellerslie Village, you're automatically a member of Ellerslie Business Association. This small geographic area extends from Ramsgate St along Main Highway around the corner to 8 Robert St, and up Ladies Mile including numbers 179 and 188.

PLEASE COMPLETE THE FORM BELOW TO SIGN UP AS A FULL MEMBER:

Business Name

Street Address of Business

Business Phone Number (for directory listing)

Website Address (for directory listing)

I / We consent to our company website and phone number being published on your website and to receiving newsletters and promotional emails.

Name of Primary Contact Person (this is for EBA use only, and will not be used for your directory listing)

Email of Primary Contact Person

Mobile Number of Primary Contact Person

Name of Secondary Contact Person (if applicable)

Email of Secondary Contact Person

Mobile Number of Secondary Contact Person

Number of Staff

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

Address

Thanks for completing the EBA Full Membership Form. We will be in touch with you shortly to confirm

Ellerslie Business Association FULL Membership Form

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