Gulf Trollers Association
 1135 Camrose Crescent, Victoria, BC    V8P 1M9

Ensure your voice is heard - Associate Membership is now $250


Business Name

_______________________________________________________

Contact Name

___________________________

Street Address

_______________________________________________________

City, Province

_______________________________________________________

Postal Code

___________________________

Phone

___________________________

Fax

___________________________

Cell

___________________________

Email

_______________________________________________________

Would you like to receive information by email?        Yes    No

Would you like to be listed as an Associate Member on the GTA web site?        Yes    No

Membership Type

Renewal    New Member

Make your cheque out to: Gulf Trollers Association Area H