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Microsoft Word - BBAA Assoc & VIP Memb App … · Web viewPalmer, AK 99645 Phone: 907-746-2333 Email: [email protected] Membership Chair Person contact: Collette : 907-745-4263

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Page 1: Microsoft Word - BBAA Assoc & VIP Memb App … · Web viewPalmer, AK 99645 Phone: 907-746-2333 Email: membershipchair@alaskabba.com Membership Chair Person contact: Collette : 907-745-4263

Bed & Breakfast Assn of Alaska

950 S. Trunk RdPalmer, AK 99645

Phone: 907-746-2333 Email:

[email protected]   Membership Chair Person contact: Collette : 907-745-4263

Membership Application - Associate Member or VIP Associate Member Business Name _______________________________________________________________ Mailing Address________________________________________________________________Physical Address (if different) _____________________________________________________Contact Person & Title___________________________________________________________ Telephone____________________________ Toll Free_________________________________ Fax ____________________ Email Address__________________________________________ Website: http://www.____________________ Type of Business__________________________ Information needed for your Alaskabba.com web listing (you can write on the back or email it separately to [email protected]), 600 Characters max.: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Please include the following information to finalize your application. 1. Business license number___________________________ State_______________________ 2. Liability insurance: Name of Carrier______________________________________________

Name of Agent_________________________________________________________ I acknowledge and by my signature certify that the information contained above is true and correct, that liability insurance will be maintained, and that I will comply with all requirements of membership in the Bed & Breakfast Association of Alaska. Signature ___________________________ Date _________________________ (Optional) To participate in the VIP Program please complete below: A. Describe the added value offering or the discount you will give the customer when the BBAA VIP

Card is shown in your place of business. Two lines of text. _____________________________________________________________________________ _____________________________________________________________________________ B. If you wish to be on Statewide VIP List please give the promotion code the customer will give you

via phone or by email in order to receive your VIP Promotion. My VIP CODE: _________________________________ Please check or fill in the appropriate blanks:

_____ New Member, $175.00 _____ Renewing Member, $150.00 _____ Member Renewing with BBAA & also Member of Local B&B Association, $25.00

Local B&B Association _____________________________ (You must be a current member.) _____ Additional Listing Cities on the BBAA web site $20.00 (2 additional listings allowed if within 25

miles of primary location). Please make check payable to BBAA. Mail Check and Signed Application to: P.O. Box 15244, Fritz Creek, AK 99603, OR Scan & E-mail Signed Application to [email protected] questions to email: [email protected] or call Collette at 907-745-4263 ********************************For Office Use Only*************************************

Page 2: Microsoft Word - BBAA Assoc & VIP Memb App … · Web viewPalmer, AK 99645 Phone: 907-746-2333 Email: membershipchair@alaskabba.com Membership Chair Person contact: Collette : 907-745-4263

Date Rec’d__________ Date complete __________ Ck# ________ Web listing done__________