Regular Member Form

Property Name *

Legal Name (If Different From Above) *

Address *

City/Town *

Postal Code *

Billing Address (If Different From Above)

Company Email *

Phone *

Fax

Toll Free

General Manager Name *

General Manager Email *

General Manager Phone Number *

In the absence of general manager, please contact

Website

Please email AHLA Newsletter to this contact and email

Property Type *

Full Service

Limited Service

No Service (Rooms Only)

Management Structure *

Owner Operated

Management Company

Management Company (If Applicable)

Ownership Structure

Independently Owned

Franchise

Corporate Chain

Chain Name/Brand (If Applicable)

Number of Rooms *

Number of Liquor Licenses *

Number of VLTs *

WCB Account Number *

Your Information (Your Name)

Your Position