Join Now as a Restaurant 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*
Province/State (other)
Postal Code*
(Area Code) Phone*
(Area Code) Fax*
E-Mail*
Website
* indicates a required field

Which of the following best describes your foodservice operation? (choose one): *
Other

Do you have a liquor license? *
Yes
No

     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