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TBNA - Texas Bar & Night Club Alliance

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Texas Bar & Night Club Association

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TBNA Membership
APPLICATION

"*" indicates required fields

Step 1 of 2

50%

Key Contact Name*

First Last

Company Name*

Key Contact Title

Address*

Street Address City State ZIP Code

Cell Phone*

Office Phone

Business Fax

Email (preferred)*

Business Information

Number of Years in Business

Number of Employees

Mixed Beverage or Beer & Wine License?

Total Reported TABC Yearly Sales (Dollars)

Are you legally classified as bar/nightclub or restaurant?

None

Yes

No

Is your establishment for ages 21 and older?

None

Yes

No

Do you have a light night hour permit?

None

Yes

No

Do you carry general liability insurance on your licensed account?

None

Yes

No

Do you carry liquor liability insurance on your licensed account?

None

Yes

No

Are you legally classified as bar/nightclub or restaurant? (3)

None

Yes

No

Does the TABC license holder have any additional licenses? If so, please list account names

Are you involved in any OTHER trade associations concerning bars and nightclubs? If so, please list

Do you have a website/facebook/twitter/instagram page? If so, please list

Alliance Interests

Please check the issues which interest you the most

Local City Council and Mayoral Elections

Local Police Department and Commander Meetings

State TABC Regulations

Alcohol Awareness Classes

Security and Safety

What issues that affect your bar/nightclub would you like to see addressed by the alliance?

Yearly Membership Payment Info

Product Name

Price:

Name*

First Last

Company

Email*

Phone*

Credit Card Billing Address*

Street Address City State ZIP Code

Total

Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

Your Membership Fee will be automatically deducated yearly from your credit card account. If you wish to cancel you must give us 30 days notice. Email Quincy Barnes at TBNA for cancellation or more information.

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