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:

Notifications

  • By submitting this form, you're granting: WISE NL (PO Box 23176, Churchill Square, St. John's, NL A1B 4J9, Canada) permission to email you. You can revoke permission to mail to your email address at any time using the SafeUnsubscribeTM, found at the bottom of every email.
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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.