Membership – Corporate

    Is this a new membership or a renewal?
    Are you interested information on sponsorship opportunities?

    Contact Information (** = Required)

    **Company Name:
    **Company Website:
    **Primary Contact:
    **Primary Contact Email:
    Company Postal Address:

    Declarations (Required)

    YesNo Our organization, and by extension those named below, understand and support the objectives of WISE NL.
    YesNo In accordance with the Canadian Ant-Spam Legislation (CASL), the following individuals grant permission to include their email address in the WISE NL email distribution list

    Designated Members (** = Required)

    ** Name 1:
    ** Email 1: Phone 1:
    Name 2:
    Email 2: Phone 2:
    Name 3:
    Email 3: Phone 3:
    Name 4:
    Email 4: Phone 4:
    Name 5:
    Email 5: Phone 5:


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  • Submit Application

  • The Corporate Member fee is due not later than December 31. Fees received between September 1 and December 31 shall be credited to the following year, whereas fees received between January 1 and August 31 shall be credited to the current year.
  • The Corporate Member rate is $300 per year Online payment for professional membership includes a transaction fee of $9.27 for a total of $309.27
  • After submitting this form you will be redirected to PayPal. No PayPal account is required.
  • If you wish to pay by cash or cheque, which does not incur a transaction fee, do not used this form. Please submit a paper application and indicate if you require an invoice.