Busniness member

Red Deer Doula Association

NEW BUSINIESS MEMBER APPLICATION INFORMATION
Full name*

First NameLast Name
Name as it appears on Facebook *if different than above

First NameLast Name
Business name
Mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone number*

Area CodePhone Number
E-mail*
Website
Facebook page link
Instagram page link
Please upload your logo
I am applying as:*

Business sponsor of the Red Deer Doula Association $100/year
What cities/areas do you serve?*
Are you willing to serve those with special situations and financial limitations?*

YesNo
Please provide a short bio about yourself, your interests, why you are interested in the work, services or products you provide or supply, and anything unique about you or your business you'd like to share.
As part of this membership I have reviewed and agree to the following documents pertaining to the RDDA:
Business Guidelines
I give permisission to the RDDA to post information and photos of me and my business
*optional
RDDA Public Social Media Platforms*
RDDA Private Facebook groups*
RDDA Public Website*

Please give reference of any two people whom you feel would be able to provide a positive professional or character reference on your behalf:

	Full Name	Address	Contact Number	Email
1
2

How did you hear about the Red Deer Doula Association? Please check all that apply.

Social MediaInternet SearchFamily or FriendsPrenatal Care ProvidersWellness PractitionerCurrent or past RDDA memberOther
If a person or business referred you to the Red Deer Doula Association, who can we thank for the referral?
Payment of Fees

Once your application has been received and processed you will be contacted by our executive commitee to dicuss your membership and coordinate payment of fees. Cash and E-Transfers are accepted.

Application Fees are renewed each year on or before October 1st. Society year runs from October 1st-September 30th.

Business Sponsor $100/ year
*Fees are not prorated
By completing, signing and submitting this application, I state that I have read, agree, and submitted all necessary documents:

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Red Deer Doula Association