Industry Supporter Application

July 1 - June 30
Profile Information
Organization

NameWebsite
Address

Street Address 1

Street Address 2

CityProvince/State

Postal / Zip CodeCountry
Account Administrator
This individual will be the contact for your membership.
Name
Job Title/Position
Email
Phone Number

Area CodePhone Number
Fees
Corporate Supporter contributions for the year are $3,798. First time Supporters receive a 50% discount.

Please note: prices will be subject to the applicable GST/HST: 5% AB, BC, MB, NT, NU, QC, SK, YT; 13% ON; 15% NB, NL, NS, PE (#R10686690).
Logo and Signature
You will receive logo recognition on CSHP.ca. Please upload a high-resolution logo here:

Browse Files

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Authorizing Name
Signature
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July 1 - June 30