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SCGA Membership Form

    Annual Membership Fee
    Corporation Size
    50 or Less ($175+$8.75 GST =$183.75)100 or Less ($300+$15 GST =$315.00)250 or Less ($600+$30 GST =$630.00)Government/Municipality/Associations ($600+$30 GST =$630.00)
    OR
    Annual Sponsorships Levels
    Friends ($1000+$50 GST =$1,050)Bronze ($2500+$125 GST =$2,625.00)Silver ($5,000+ $250 GST =$5,250)Gold ($10,000= $500 GST =$10,500)Platinum ($20,000= $1000 GST =$21,000)
    Company Information
    Company Name: (required)

    Mailing Address: (required)

    City: (required)

    Province: (required)

    Postal Code: (required)

    Website

    Choose the industry to indicate the category that you represent

    Contact Information
    Contact Person: (required)

    Job Title:

    Email Address: (required)

    Phone Number: (required)

    Mobile Number: (required)

    I was referred by another member of the SCGA
    YesNo
    If yes, please enter the name of the person who referred you to become a member:
    Name:
    Company:
    I consent to having my company and contact information published on the SCGA Website
    YesNo
    Any other information