SCGA Membership Form

    Annual Membership Fee

    Corporation Size
    50 or Less ($125+$6.25 GST =$131.25)100 or Less ($250+$12.50 GST =$262.50)250 or Less ($500+$25 GST =$525.00)Greater than 250 ($2,500+$125 GST =$2625.00)Association ($500+$25 GST =$525.00)Government / Municipality ($500+$25 GST =$525.00)

    OR

    Annual Sponsorships Levels
    Gold $20,000= $1000 GST =$21,000Silver $10,000+ $500 GST =$10,500Bronze $5,000+$250 GST =$5,250

    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 consent to having my company and contact information published on the SCGA Website
    YesNo

    Any other information