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Member Application
Congratulations on taking a step to invest in yourself and your business by submitting an application to become an investor with The Shelby County Chamber! Fields marked with an * are required for your application to submit properly.
Step 1:
Member Info
Step 2:
Additional Info
Step 3:
Primary Contact
Step 4:
Billing Contact
Step 5:
Membership Options
Step 1:
Member Info
Company Name
*
Please add your company name.
Leave Blank
Phone
*
Please add your company phone number.
Website
Email
*
Please add a valid email.
Physical Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Mailing Address
Same as physical address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Step 2:
Additional Info
Business Keywords
(enter a space between words)
Directory Category
*
Choose...
Accounting
Administrative Services
Adult Day Program
Advertising & Marketing Services
Advertising Specialties
Aesthetic Therapy
After School Learning Program
Agriculture & Farming Supplies
Air Charter
Air Conditioning & Heating
AirBnB
Alcohol Testing
All Purpose Sauce
Alterations
Ambulance Services
Antiques & Interiors
Apartments & Leasing Services
Appliance Sales
Applied Behavior Therapy
Appraisers
Apprentice
Architects
Architecture
Art & Painting Classes
Art Frame Shop
Art Gallery
Assisted Living Facilities
Associations & Organizations
Attorneys
Attractions
Auction
Audio/Video Experience for Business
Audio/Video Experience Residential
Automation
Automobile Car Wash
Automobile Customization
Automobile Dealers
Automobile Rental
Automobile Repair
Automotive Manufacturer
Automotive Retail
Automotive Touch Up
Aviation
Bail Bonds
Bakery
Barber Shops
Barter Exchange
Beauty Salons
Bed & Breakfast
Behavior Therapy
Beverage
Beverage - Distributor
Body Waxing
Botox
Boutique
Bowling Alley
Brewery
Brewpub
Brick
Bridal & Pageant Apparel
Brokerage Firm
Builders
Building Supplies
Business & Personal Training & Development
Business & Professional Services
Business Communications
Business Consulting
Business Furnishings
Business Law
Cabinets
Cabinets
Campground
Career & Staffing
Career Management
Cargo
Carpet & Rug Cleaning
Cat Lounge
Catering Services
CBD
Cellular Equipment & Service
Chamber of Commerce
Check Recovery
Chemical
Childcare
Chiropractic Care
Churches
Cigar Shop
Civil Engineering
Cleaning
Cleaning Services
Clinical Lab Services
Closet Organization
Clothing Boutique
Clothing Retail & Accessories
Coffee
Coin Dealer
Collision Repair
Commercial & Fleet Supplier
Commercial & Residential Junk Removal
Commercial Cleaning Services
Commercial Embroidery
Commercial Financing
Commercial Furniture & Shelving
Commercial Kitchen Service
Commercial Roofing
Commercial Surveying
Communications - Wire & Cable Installation
Communications - Wireless
Community/Service Organizations
Composites
Computer
Computer Services & Solutions
Computer Software
Computer Technology Products & Services
Computerized Car Care
Concierge Services
Concrete - Ready Mixed & Products
Concrete - Suppliers, Products
Concrete Restoration
Condos / Townhomes
Consignment
Construction
Construction Consulting
Construction Equipment - Sales and Service
Consulting
Convenience Stores
Corporate Housing / AirBnB
Cosmetology
Counseling Services
Country Clubs & Specialty Stores
Cranes
Crate Build & Design
Credit Card & Electronic Fund Services
Custom Woodwork
Customer Management Consultants
Dance Instruction
Dance School
Dark Fiber
Debris Removal Service
Debt Counseling and Settlement
Delivery Service
Dental
Developers
Direct Mail Marketing
Direct Marketing
Disinfection Technologies
Distributors
DNA Testing
Document Management Services
Dog Walking Servics
Drug Testing
Dry Cleaning Services
E-Commerce - Retail
Ear Nose & Throat
Earth Moving
Economic Development Organization
Education - Recreation/ Enrichment
Education - Schools
Education-Training and Tutoring
Electrical Services
Electronics Retailer
Emergency Transportation
Employee Benefit
Employment - Agencies & Services
Employment Background Checks
Employment Drug Testing Services
Employment Screening Services
Energy Consultant
Engineering Design Services
Engineers
Entertainment
Environmental - Waste Management
Environmental Protection
Equipment Leasing & Financing Services
Equipment Rental
Estate Planning
Ethernet
Etiquette Consultants
Event
Event & Meeting Space
Event Planning
Event Staging
Excavation
Executive Coach
Executive Recruiting
Executive Suites & Services
Extended Stay
Eye Care
Facility Management
Family and Child Resource Guide
Family Services
Fertility
Fiber Optic Internet
Film Production Company
Filtration Sales & Service
Financial Coaching & Consulting
Financial Institutions
Financial Investments
Financial Literacy
Financial Planning
Financial Products & Services
Fire & Water Restoration
Fire Protection
Firearms Products & Services
Flatbed Freight Transporters
Flight School
Floor Maintenance Services
Flooring, Carpet, Hardwood
Florists
Food
Food - Full Line Services
Food - Seasonings
Food Truck
Food Truck Builds
Food Wholesale
Footwear & Repair
Forensic Accounting
Forestry
Forklifts
Formal Wear
Foster Care
Foundation Repair
Franchise Sales
Freight
Freight Brokerage
Frozen Desserts
Fundraising
Funeral Homes
Furnished housing
Game Console Repair
Gas Station
General Contractor
Gift Shop
Glass Coatings
Glass Repair & Services
Golf
Government - City
Government - County
Government - Federal
Government - State
Graphic Design
Grocers
Group Trips
Guns
Gymnastics & Cheerleading Instruction
Hair & Beauty Supply
Hauling
Health & Beauty
Health & Fitness
Health & Wellness
Health Care
Health Insurance
Health Supplements
Healthcare Distribution
Hearing Health
Holistic Healing
Home Furnishings & Accessories
Home Furnishings - New and Consigned
Home Health Care
Home Health Care - Non-Medical
Home Improvements - Construction & Remodeling
Home Inspection Services
Home Services
Hospice
Hospital
Hospitality
Human Resource Outsourcing
Human Resources Consulting
Hunting & Fishing
HVAC
Hydraulic Equipment
Ice Cream
Identity Theft
Independent Specialty Product
Individual
Industrial Products Sales
Industrial Supplies & Services
Industrial, Medical & Specialty Gases
Industry
Information Management
Information Technology
Insulated Glass
Insurance
Interior Design
Internet
Inventory Services - Business & Residential
Investigative Services
Irrigation
Italian Ice
Janitorial Services & Supplies
Jewelry & Gifts
Junk Removal
Junque
Kitchen Tools
Land Management
Landscape Contractor
Landscape Design & Install
Landscaping/ Vegetation Control
Language Translators
Laundromat
Laundry
Lawn Care Services
Leadership Development
Legal Services
Lenders
Libraries
Life Coach
Lighting
Lighting
Liquor
Loans
Locksmith
Lodging
Logistics
Machine
Machine & Equipment Sales, Service & Installation
Mail Service
Managed Security
Manufacturer
Manufacturer - Foundry
Manufacturer Vehicle Undercarriage Cleaning System
Maps & Charts
Marine / Transportation
Marketing
Marketing Communications
Martial Arts School
Massage Therapy
Maternity & Postpartum Clothing
Mattress Retailer
Med-Spa
Media
Media Consultants
Mediation Arbitration Services
Medical - General
Medical - Hospital
Medical - Specialized
Medical Billing Services
Medical Supplies
Meeting Space
Men's Hair Salon
Messianic Synagogue
Metal Fabricator
Military Service
Mirrors
Mobile Device Repair
Mobility Specialists
Mold, Water and Asbestos Remediation
Mortgage
Mortgage Loan Officer
Motorcycle Dealership
Movie Theatre
Moving & Storage
Museum & Archives
Musical Instruments
Neighborhood Association Management
Non-Profit Organization
Nursery & Landscape Services
Nutrition
Nutritional Balancing
OB / GYN
Off Road Vehicles
Office Assistant Services
Office Equipment - Sales & Leasing
Office Furniture
Office Space - Leasing
Office Supplies & Services
Organizing Services
Orthodontics
Orthopedic Specialist
Other
Outdoor Storage
Packing
Pain Management
Painting Commercial and/or Residential
Paramedics
Paving - Asphalt
Payment Processing & Sales
Payroll Services
Pedorthics
Personal Assistant
Personal Training
Pest Control & Services
Pet Boarding
Pet Grooming Services
Pet Sitting Service
Pharmacies
Photography Services
Physical Fitness
Physical Therapy
Plant Shop
Plumbing & Gas Fitters
Plumbing Services
Printer Services Ink & Toner
Printing Services
Private Investigator
Private Label Gift Company
Production Services
Promotional Products
Propane
Property Investments
Property Management
Prosthetic Limbs
Pub
Public Park
Public Relations Firm
Publications
Publishers
Radio Station
Railroad Products & Services
Re-Entry Facility
Real Estate
Real Estate - Commercial
Real Estate - Land Sales
Real Estate - Rental
Real Estate - Residential
Real Estate Investments
Receivables Management
Recreation
Recreation Equipment & Retail
Recreational Activities
Recycling Services
Refrigerant Solutions
Religious Organization
Residential & Commercial Development
Residential & Commercial Renovation/Restoration
Residential Cleaning Services
Restaurants
Retail
Retail - Antiques & Collectibles
Retail - Electronics
Retail - Entertainment
Retaining Walls
Retirement Community
Robotics
Roofing
Rubber Products
RV Sales & Service
Security and Telecommunications
Security Services
Security Systems
Seed & Feed Store
Self Defense
Senior Care Facility
Senior Health & Rehab
Senior Living Placement
Senior Services
Shelby County Commissioner
Shipping
Shopping Centers
Shower Doors
Signs
Site Preparation
Site Work Construction
Skilled Nursing Facility
Sno Cones
Social Services
Special Education Support
Special Education Support
Special Event Cakes
Special Needs Therapy
Specialty - Chemical
Specialty Foods
Specialty Gifts
Sports Club
Sports Equipment
Sports Memorabilia
Sports Nutrition
Staffing
Stained Glass
Steel Fabricators
Stone Supplier
Storage
Storage - Facilities
Surveyors
Swimming Pools
Tanning Salon
Tattoos and Piercings
Tax & Financial Services
Team Building
Technical & Managed Services
Telecommunications
Teleconferencing
Teleconferencing
Telephone Equipment & Services
Thrift Store
Tile
Tile & Stone Distributor
Tire Wholesaler
Title Insurance
Tourism & Recreation
Tractor Equipment
Training
Transitional Housing for Homeless
Transportation
Transportation Management & Solutions
Travel Agency
Truck Rental & Leasing
Trucking Company
Tutoring
Uniform & Safety Apparel & Products
Utilities
Utility Companies
Utility Contracting Firm
Vacation
Vacation Rental
Valet Services
Vegetation Management
Vending
Veterinarian
Videography
Vinyl Siding
Vocational Welding School
Waste Disposal Services
Waste Management & Recycling
Waste Management Services
Water Filtration Systems
Wealth Management
Web Design & Services
Wedding Venue
Weight Loss
Welding Supplies
Wellness Clinic
Wholesale Lumber Company
Wholesale Paper Company
Wigs
Wildlife Management
Window Tinting
Window Treatments
Windows
Winery
Women's Community Service Group
Workers Comp
Workforce Development
Xerox Sales
Yoga
Youth Services
Please select a directory category.
Full-time Employees
*
Please add your number of full-time employees.
Part-time Employees
*
Please add your number of part-time employees.
Referred by
Step 3:
Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Address in Step 1
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Step 4:
Billing Contact
Same as Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Primary Contact Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Step 5:
Membership Package
Please select a Membership Package
"Sustaining" Level Investment (Available for companies with 5 or less employees)
$200
"Leadership" Level Investment
$300
"Capstone" Level Investment
$500
"Executive" Level Investment
$650
"Platinum" Level Investment
$800
"Pinnacle" Level Investment
$1,000
Charity/Non-profit Investment
$150
Additional Fees:
One-time Administrative Fee
$50 one time
$50
Comments/Questions
Payment Option
Bill Me
Charge my credit or debit card
Please complete the Captcha
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