Member Directory Sign Up

You're almost there! Simply fill out the form below to add your business or organization to the Member Directory page. Please allow us a few days to process your request. We will send you a confirmation once your listing has been posted.

Your Contact details

For communications only.

First Name

Last Name

Phone Number

Email Address

Business Listing Details

Please enter your business/organization details which will show in the Member Directory listing on this website.

Company or Organization Name

Address Line 1

Address Line 2

City

Province

Postal Code

Phone Number

E-mail Address

Website

Biographical Info

Please specify which category your organization belongs under in order of importance. You may select a total of 3 categories.

Category 1

Category 2

Category 3

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Consent

I confirm that the information given in this form is true, complete and accurate. I hereby consent to use the information I have provided to be used on the public Member Directory page on the Milverton Business Association website, and any future Milverton Business Association published/printed directories.