Association Membership Application
Association Membership Application
Association Membership Application
Application
1. Corporate Information
Company Name __________________________________________________________________________
Address _________________________________________________________________________________
City __________________________________ Province __________ Postal Code ___________________
Telephone _____________________________________ Fax _____________________________________
Website __________________________________________________________________________________
Language of correspondence
English
French
2. Primary Contact
Mr.
Mrs.
Ms.
Dr.
English
French
3. Invoice Recipient
Mr.
Mrs.
Ms.
Dr.
English
French
4. Areas of Interest
Please rank your top three and mark other areas of interest with a check mark.
Aboriginal Affairs and Canadas North
Intellectual Property
Canada-U.S.
Internal Trade
Competition Policy
International Affairs
Environment
Labour Relations
Tourism
Fiscal Policy
Transportation
Infrastructure
Innovation
Retirement Savings
English
French
English
French
6. Membership Investment
Annual Investment ______________+ applicable taxes (HST Registration # 106844285)= ____________ Total
Invoice me
Cheque attached
Visa
MasterCard
Amex
7. Type of Industry
Accommodation
High Technology
Agriculture
Retail Trade
Legal Services
Skilled Trades
Manufacturing
Utilities
Media
Wholesale Trade
Policy committees
Advertising opportunities
ICC publications
Any personal information provided on the attached form will be used by the Canadian Chamber of Commerce, as set out in
our Privacy Policy, to conduct the transaction indicated on this form. Please consult our Privacy Policy, available online at
Chamber.ca or contact our Privacy Officer at privacy@chamber.ca or 613.238.4000 x 229.
Chamber.ca
Thank you for filling out this form. Please send it to the Chamber representative nearest you.
OTTAWA
420 - 360 Albert Street
Ottawa, ON K1R 7X7
613.238.4000
613.238.7643
info@chamber.ca
TORONTO
901 - 55 University Avenue
Toronto, ON M5J 2H7
416.868.6415
416.868.0189
info@chamber.ca
MONTREAL
709 - 1155 University Street
Montreal, QC H3B 3A7
514.866.4334
514.866.7296
info@chamber.ca
CALGARY
PO Box 38057
Calgary, AB T3K 5G9
403.271.0595
403.226.6930
info@chamber.ca
Option A: $500*
Includes access to information; engagement, at the discretion of the policy department, in policy development
and advocacy; and the opportunity to be listed on our website as a member in good standing.
Option B: $1,250*
In addition to Option A, includes eligibility to be represented on our policy committees, excluding the Ottawa
Liaison Committee.
Option C: $1,500*
In addition to Option B, includes access to all our cost-saving affinity programs.
Option D: $2,500*
In addition to Option C, includes eligibility to be represented by the CEO, Executive Director or President
on the Ottawa Liaison Committee as well as at the international policy level on any appropriate ICC and
BIAC/OECD committee.
Option E: $5,000*
In addition to Option D, includes the opportunity to collaborate with us on major policy messages
and access to selected events, including an exclusive semi-annual gathering of association CEOs and
members of our management team.
Note: Associations paying an annual fee of $1,250 or more will be eligible to reduce their fee by 10% if
they agree to send a letter, or other such message, to their members promoting the merits of corporate
membership with the Canadian Chamber of Commerce.
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*The applicable tax rate will be based on the members province/territory of residence. AB, BC, MB, NT, NU, SK,
YT: 5% GST | QC: 5% GST + 8.5% QST | NB, NL, ON: 13% HST | PE: 14% HST | NS: 15% HST |
Outside of Canada: 15% HST