New Member Form

If you are interested in joining the BNIA, please complete the form below and we’ll get back to you promptly. Please provide the following information in order to get started. “Cottage Address” refers to your property’s civic number, eg. A921-1.

- Required Field

First Name:

Last Name:

Email:

Cottage Address (Street/Island Number):

Home Address:

Home City:

Home Province / State:

Home Postal Code / Zip:

Home Country:

Home Phone:

Cell Phone:

Cottage Phone:

Include personal information in the member directory
(property map number, name, local phone #)

Additional Info:

Do NOT send the BNIA e-newsletter to me (we’ll still email you for membership renewals)

Do NOT mail the triennial GBA Update newsletter to me

Send my BNIA renewal notification by regular mail

reCaptcha failed.

Cancel