Membership Activation Form

Please fill in the following information to qualify as a member of the Hastings Crossing Business Improvement Association. Remember to double check the Membership page to make sure your business or property is eligible.

REQUIRED

Company, business or organization name:*

REQUIRED

Are you a

*


Business or Property Address

REQUIRED

Suite

REQUIRED

Street Address*

REQUIRED

Postal Code*

Mailing Address

(if different from above)

REQUIRED

Suite

REQUIRED

Street Address

REQUIRED

City, Province

REQUIRED

Postal Code

Other Details

REQUIRED

Phone Number*

REQUIRED

Contact Name*

REQUIRED

Email*

REQUIRED

Add to HxBIA mailing list, including monthly eNews and other community notices.

*

REQUIRED

Would you like us to be contacted with information on how to get involved with HxBIA committees?

*

REQUIRED

By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.*
Submit