Employment Sector Council (ESC)
Membership,
2020-2021
Thank you for completing your ESC Membership Form on behalf of your organization. Our strength is owed to our collective membership and your support is crucial for us to continue to provide services and resources for supporting your organizations, staff, and client service delivery, and strengthening our community partnerships. If you have any questions, please do not hesitate to contact us:
info@esc.network
.
Organization Contact Information
Agency Name (exactly as you would like it to appear on our Membership List):
*
Your Organization's Primary Contact:
*
Your Organization's Primary Contact:
*
Position
*
Email Address
*
Street address
*
Street address line 2
City
*
Province
*
ON
Postal code
*
Phone number
*
Twitter Handle
Secondary Organization Contact
*
Position
*
Email Address
*
Third Organization Contact (Optional but Recommended)
Position
Email Address
I would like to receive the ESC e-newsletter.
Click here to sign up.
Payment Information
($472.50 per Organization)
Choose method of payment
Please send me an invoice and I will pay by cheque.
I want to pay by PayPal with a credit card.
Option 1: Pay by Cheque
An invoice in the amount of $472.50 will be emailled to you with payment details.
Please complete the contact information below and complete your registration by pressing SUBMIT.
E-mail
Contact name for payment
Date for Invoice (optional)
Option 2: Pay by Paypal with a credit card
($472.50)
You can pay immediately. Please click Credit Card Payment $450 CAD below and then press PAY BY PAYPAL.
Credit Card
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Credit Card Payment for ESC Membership, 2020-2021
$
472.50
CAD
ESC Membership, 2020-2021
Note: Paypal account as well as cheques (payable) through WIL Counselling and Training
Pay by Paypal
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