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