Application Form
Thank you for your interest in joining the BCEA. Please fill out the form below completely and a BCEA representative will contact you shortly to confirm your application and make payment arrangements.
Bold field names are required.
The information you enter is strictly confidential and will not be made available to any other corporation or persons.
Company Name:
E-mail Address:
Local Contact:
Title:
Alternate Contact:
Address:
City:
Phone:
Fax:
BC Business License Number:
BC Agent and/or Distributor:
Briefly Outline the Mandate of your company
BCEA Membership Category:
Security Code:
British Columbia Electrical Association 224-3989 Henning Drive Burnaby, BC V5C 6N5 E-mail: E-mail form Phone: (604) 291-7708 Fax: (604) 291-7795
The BCEA is dedicated to helping our members achieve the highest level of success.