Voting Membership Application Form

Complete the application below & pay online or download the form and mail it in.

WIM Canada Membership Application.pdf

WIM Canada 2012 Membership Applic ation 

Please note: we are no longer accepting applications for  WIM Canada 2011 Voting Memberships

Your Name*
Email*
Job Title or Area of Specialty*
Company Name
Mailing Address*
City*
Province/State*
Postal/Zip Code*
Country*
Telephone*
Reason for Joining*  

Comments

 

 

 

Membership

Directory

 

 

I allow WIM Canada to publish my name in the membership directory: 

(Voting/Paid Members Only)

Yes    No 

 

Full Voting Membership

$25 annual fee, 12 months October to October

  Please sign me up for a Full Voting Membership

  Please renew my membership WIM Canada

    

     

                                         

 

 

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