Membership Registration Form

To register as a member of Torquay Commerce and Tourism, please complete the form below and pay the annual membership fee.

* Required

Title

First Name *

Last Name *

Email Address *

Work Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number

Work Phone Number *

Cell Phone Number

Web Address

I will make my $20 membership payment by: *
Bank Transfer
Cheque

Description of Business

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