Ontario Accommodation Association

Allied Members Sign Up Form

Name of Firm:

Address:

Address::

City/Town:

Province:

Postal Code:

Phone:

Fax:

Toll Free:

Email Address:

Web Address:

Type or Classification of Business:

Number of Years in Business:

Head Office Location:

Products or Services offered:

LIST: Officers and Others who will be involved with our Assocciation and Members.

(position):	(name):
(position):	(name):

REFERENCES: List two customers in the accommodation business.

Company:	Contact:	Phone:
Company:	Contact:	Phone:

By your Signature or Electronically Submitting This Form you authorize the Ontario Accommodation Association to contact these customers for references.

Signature or Name:

Title:

Date:

ALLIED FEE SCHEDULE: HST Registration #R121928238

OAA Allied Fee:	$385.00
13% HST:	$ 50.05
Sub Total:	$435.05
Email Link add $35
Web Link add $35.00
Both add $60
TOTAL:

Payment Method

Check

Visa

MasterCard

Card Number:

Expiry Date:

Name on Card:

Membership is effective for a 12 month period from the time of acceptance.

If you have any questions or require further information call us toll free at 1.800.461.1972

Send completed application with payment to:

Ontario Accommodation Association
347 Pido Road, Unit 2
RR 6, Peterborough, Ontario
K9J 6X7

Toll Free: 1.800.461.1972
Tel: 1.705.745.4983
Fax: 1.705.745.4982
Email: info@oaa.travel
Web Site: www.oaa.travel