Business Membership Application

Want to become a Business Member? (Cost $250 per year)
a) Complete the online application form below and pay by credit card.

b) Print off a Business Members Application form complete it, then mail it to VISOA along with the required documents listed on the form. Include a cheque for $250 or send an e-transfer to administrator@visoa.bc.ca

Please note: A business membership is not final until approved by the VISOA board.

Business Membership Application

Please complete the following information.

Legal Name of Business*
Other Business Name (if applicable)
Address*
Street Address City Province Postal Code
Phone and Fax*
Phone Fax
Email*
Website*
Facebook & Twitter
Facebook Twitter
Business's Contact Name and position/Title*
Contact Name Position/Title
Type of Business*
Business Liability Insurance

List and provide evidence of liability insurance consistent with the standards of your trade or industry.
Carrier:*
Type:*
Policy Number and Expiry Date:*
Policy Number Expiry Date
Amount of Coverage:*
Business Licenses: List and PROVIDE A COPY of any Government or Industry related licenses that are required to legally provide services in B.C. If you provide services regulated by Technical Safety BC, please provide your license number (e.g. LEL0123456 or LGA0123456).*
Other Memberships: If applicable, list any affiliation or memberships with any business or professional associations.
Judgements etc. Please provide a copy of any Judgement, Decision, or Order involving your business issued by a Court or Tribunal (including Small Claims Court) in the past three years.
- I will email documents
- There are no documents to email
Other Information: Please offer any further information in support of this business membership application with VISOA.
Certification: The undersigned hereby requests a business membership with VISOA for the business named in paragraph 1. The undersigned certifies that he/she is entitled to sign on behalf of the business and certifies that the information given in this form is true and complete. The undersigned also authorizes VISOA to obtain further information or verify disclosed information in connection with this application.*

Please note that the VISOA Board of Directors retains the right to refuse business membership applicants and/or to terminate business memberships if the business is deemed not appropriate for membership.
Date*
MM slash DD slash YYYY
After you click on submit:
A copy of this form will be immediately emailed to you. You will also receive a confirmation email from PayPal once you complete the payment. VISOA will send you a receipt once we have processed your application.
Business Membership Fee:
Price:
Total
$ 0.00 CAD

Business Membership Application

Business Membership Application

Business Liability Insurance

After you click on submit:

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