Associate Membership Form

Te Atatu Peninsula Business Association Inc

 

Associate Membership Registration

This is to register

(Name of Business)……………………………………………………………………..

At (address)………………………………………………………………………………..

on Te Atatu Peninsula

as an associate member of the Te Atatu Peninsula Business Association for duration of the financial year, July 2011 to June 2012

Annual Membership fee: Thirty Dollars ($30)                        Date__________    Paid ____

 

Business Owner/Manager………………………………………………………………………

 

Signed:………………………………………………………………………………………………...

 

Name of Delegated Representative (if appropriate)

………………………………………………………………………………………………………………

Please tick preferred methods of contact

Contacts:       Phone……………………………………………………………………………...

Mobile………………………………………………………………………………

Fax………………………………………………………………………………...

E mail………………………………………………………………………………

Website…………………………………………………………………………...

Note:

Associate members of the Association are those who own a business on Te Atatu Peninsula that is located outside the boundary around the town centre, or who are simply interested in contributing to the future of the town centre. Associate Members may serve on the Executive Committee, but may not hold the office of Chair or Treasurer. Associate Members may vote on all matters pertaining to the creation of the Business Improvement District (BID) in Te Atatu Peninsula Town Centre, except a motion to seek a change in the targeted rate to fund the BID

Please return with payment to Town Centre Manager, PO Box 45326, Te Atatu Peninsula 0650.