Corporate Membership

The Brantford Club. Make it your club!
It’s where you belong.

CORPORATE MEMBERSHIP APPLICATION

Corporate Name(Required)

Corporate Member(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

UP TO 4 MEMBERS
$1800 annually; $300 voting share (non refundable); $850.00 minimum food spend per person

5 TO 10 MEMBERS
$2400 annually; $300 voting share (non-refundable); $850.00 minimum food spend per person

11 TO 15 MEMBERS
$3000 annually; $300 voting share (non-refundable); $850.00 minimum food spend per person

How many members will be joining?(Required)

Please enter a number from 1 to 15.

Member Information(Required)

Please indicate below the First Name, Last Name and Email Address for each member joining

First Name

Last Name

Email Address

Kindly note: The credit card information is only for reference purposes and the credit card won't be charged without a prior notice/confirmation

Name as shown on Credit Card

Credit Card Number

Expiration Date

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.