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Membership Category:*

Member Details

Business Name:*

First Name:*

Last Name:*

Position:*

Email:*

Business Phone:*

Fax No:

Mobile:*

Business Address

Address:

Suburb:

Country:

State:

Post Code:

Home Phone:

Mobile:*

Mailing Address

Address:*

Suburb:*

Country:

State:*

Post Code:*

Work Phone:* Ext:

Other information

Have you previously been a member with TBDC?:*

Yes

ABN:

Do you have a current business website? If not and would like assistance in developing one, please type "YES":

What industry best describes your business?:*

How many employees (including yourself) do you have?:*

What is your forecasted annual turnover for 2018-2019:

Are the details of your business able to be listed publicly (TBDC Website):*

Yes

If yes, please upload your logo:

If yes, please provide a brief summary of your business (30 words max) to inclusion on TBDC website:

Please tick this box if you do not want your business contact details shared with other TBDC members:

Are you a member of any other groups or associations?Example: Townsville Chamber, Townsville Enterprise, Master Builders, REIQ, Law Society:

Secondary Contact Name:

Secondary Contact Position:

Secondary Contact Email:

Secondary Contact Mobile:

Please list any other team member email addresses to receive newsletters and updates from TBDC. Note: Domain names must be the same as the primary account holder:

Townsville Business Development Centre

Member Registration

Member Details

Business Address

Mailing Address

Other information