Member

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Reason for Joining:

Physical Address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

Province: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Personal/Retired: $151.00
Not a business membership Company of Young Professionals & Entrepreneurs: $93.00
Not a business membership Not for Profit: $268.00
2 CYPE Reps Associate: $156.00
2 CYPE Reps 1 - 5: $306.00
FTE Employees 2 CYPE Reps 6 - 25: $354.00
FTE Employees 2 CYPE Reps 26 - 50: $408.00
FTE Employees 2 CYPE Reps 51 - 100: $466.00
FTE Employees 2 CYPE Reps 101+: $536.00
FTE Employees 2 CYPE Reps

Additional Fees:

One Time : $35.00
Administration Fee Allow Pop-up's : $0.00
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Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address