2018 MEMBERSHIP APPLICATION/INVOICE January 1, 2018 to December 31, 2018 (Due: January 31, 2018) Please complete the following and return to: Ontario BIA Association, c/o 280 Street South, Mississauga, ON L5M 1M1 Tel: 1-866-807-2227 | | | Name of BIA: Contact Name: Title: Address: Town/City: Postal Code: Municipality: Telephone: Email: Website: Twitter: Facebook: Instagram: Help us advocate for you by providing us with the following information: # of Staff employed in your BIA: Part Time: Full Time: # of Businesses in your BIA: Property Owners: Estimated # of Employees in BIA Area: 2017 # of New Businesses Assessment Value of your BIA: Total Levy of your BIA: Budget: Please attach a list of your current Chair and Councillor (and emails): What year was your BIA formed: Please provide estimates of the business makeup of your BIA Food, Beverage, Professional % Food services % Personal services % % Pharmacy Services Retail % Services % Vacant % OBIAA communicates through Email please confirm you wish to receive our Emails Y N – Please attach a list of who from your BIA and/or your Board would like to receive OBIAA’s emails. Membership fee is based on your BIA Levy. Please remit the appropriate amount listed below: Net With HST BIA Levy Amount HST Amount Amount HST #873515167RT $ 28.14 $ 244.63 Less than $150,000 $ 216.49 $ 52.38 $ 455.28 $150,001 to $300,000 $ 402.90 $ 568.61 $ 73.92 $ 642.53 $300,001 to $500,000 $ 933.38 $121.34 $1054.72 $500,001 and over $ 229.50 $ 29.84 $ 259.34 Associate Membership (Ministry or Municipality) $ 53.04 $ 461.04 Supplier Membership $ 408.00 *Ask about Group Memberships for Municipalities with 10 or more BIAs Thank you for your support of OBIAA. We all benefit from a strong membership! OBIAA Office Use Only Name on Chq: Date Rec’d: Chq Amount: Chq #: Initials:
2018 MEMBERSHIP APPLICATION/INVOICE January 1, 2018 to December 31, 2018 (Due: January 31, 2018) Please complete the following and return to: Ontario BIA Association, c/o 280 Street South, Mississauga, ON L5M 1M1 Tel: 1-866-807-2227 | | | Name of BIA: Contact Name: Title: Address: Town/City: Postal Code: Municipality: Telephone: Email: Website: Twitter: Facebook: Instagram: Help us advocate for you by providing us with the following information: # of Staff employed in your BIA: Part Time: Full Time: # of Businesses in your BIA: Property Owners: Estimated # of Employees in BIA Area: 2017 # of New Businesses Assessment Value of your BIA: Total Levy of your BIA: Budget: Please attach a list of your current Chair and Councillor (and emails): What year was your BIA formed: Please provide estimates of the business makeup of your BIA Food, Beverage, Pharmacy % Food services % Personal services % Professional Services % Retail % Services % Vacant % OBIAA communicates through Email – please confirm you wish to receive our Emails Y N Please attach a list of who from your BIA and/or your Board would like to receive OBIAA’s emails. Membership fee is based on your BIA Levy. Please remit the appropriate amount listed below: BIA Levy Amount Net Amount HST With HST HST #873515167RT Amount Less than $150,000 $ 216.49 $ 28.14 $ 244.63 $150,001 to $300,000 $ 402.90 $ 52.38 $ 455.28 $300,001 to $500,000 $ 568.61 $ 73.92 $ 642.53 $500,001 and over $ 933.38 $121.34 $1054.72 Associate Membership (Ministry or Municipality) $ 229.50 $ 29.84 $ 259.34 Supplier Membership $ 408.00 $ 53.04 $ 461.04 *Ask about Group Memberships for Municipalities with 10 or more BIAs Thank you for your support of OBIAA. We all benefit from a strong membership! OBIAA Office Use Only Name on Chq: Date Rec’d: Chq Amount: Chq #: Initials:
2018-OBIAA-MEMBERSHIP-APPLICATION.docx