Join - Breakfast Club Of Regina

Want to join us? Do you have questions about our organization or benefits of membership? Then please contact us – we’ll be happy to answer your questions or fill out an application and mail it in.

Click here to download an application form now

Breakfast Club of Regina
Box 4251
Regina, SK
S4P 3W6
E-mail: [email protected]

For more information call: 306-540-8790

Business Name*
Years In Business*
Address*
Street Address Address Line 2 City Province Postal Code
Website
Email*
Phone*
Fax
Business Owner
First Last
Business Representative
Business Rep Name*
First Last
Date Of Birth*
Business Rep Email*
Alternate Representative
Alternate Business Rep Name
First Last
Alternate Business Rep Date Of Birth
Alternate Business Rep Email
Agreements
As a new member to the Breakfast Club of Regina Inc. “We will follow the Constitution of the Breakfast Club of Regina Inc. and maintain a minimum 67% attendance per year”. The first six (6) months of fees are due once membership is approved (No Refunds)
70% of of my business would be:*
30% of of my business would be:*

Business Representative

Alternate Representative

Agreements

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