Membership Application Form


Business Name: *
Mailing Address:
City:
Postal Code:
Business Location:
Hours of Operation:
Phone: *
Fax:
Email:
Website:
Contact Person: *
Owner:
Product/Services Provided:
District:



# of Employees: *
Membership Fee: *
GST: *
Total: *
Please invoice:
Credit card payment is available. Please contact our office

Fee Structure (Part Time employee=1/2 employee)

# of Employees

Annual Fee

GST

Total

1 - 5 177.00 8.85 185.85
6 - 10 252.00 12.60 264.60
11 - 20 332.00 16.60 348.60
21 - 60 440.00 22.00 462.00
61-100 571.00 28.55 599.55
101-300 782.00 39.10 821.10
301-500 1,351.00 67.55 1418.55
501-1000 1,786.00 89.30 1875.30
Non-Profit 100.00 5.00 105.00
Individual 100.00 5.00 105.00


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Value Added Programs

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