Join Now as a Supplier Member

Step 2 - Enrollment Information - Mail/Fax

1. Please complete the form below, making sure all required fields are complete. Please ensure that you only complete the "for credit card purchases" fields if you will be paying by credit card. Leave those fields blank if paying by cheque or money order.

2. Once the form is complete, please print this page. If paying by credit card, you may fax the completed form to (416) 923-6469. If paying by cheque or money order, please mail it along with your payment to:

Canadian Restaurant and Foodservices Association
316 Bloor Street West
Toronto, Ontario
M5S 1W5

Company Name*
Contact Name*
Contact Title*
Business Address*
City*
Province*
Postal Code*
(Area Code) Phone*
(Area Code) Fax
E-Mail*
Website

* indicates a required field

How did you hear about CRFA?*
	Other

Membership representative:

* indicates a required field

For credit card purchases only:

Credit Card Type

Amex	MasterCard
VISA

Sales Volume*

Annual Fee

Tax:

Total (Canadian Dollars)

Card Number

Expiry (mm/yy)

Card Holder's Name