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2012 MEMBERSHIP APPLICATION FORM
CORPORATE LEVEL
Last Name:
First Name:
Title:
Company:
Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Cell:
Other Tel:
Email:
Website:
Signature:
Date: (MM-DD-YYYY)
-
-
PLEASE COPY AND FILL OUT EACH CORPORATE MEMBER SEPARATELY
PLEASE CHECK THE APPROPRIATE BOX
GOLD LEVEL -
$1,695.00
Unlimited Members - Your company will receive
$1,600.00
Trafic Club Credits that can be spent on any event, luncheon or seminar within the current year.
SILVER LEVEL -
$847.50
Unlimited Members - Your company will receive
$800.00
Trafic Club Credits that can be spent on any event, luncheon or seminar within the current year.
BRONZE LEVEL -
$226.00
TWO (2) Members - Your company will receive
$150.00
Trafic Club Credits that can be spent on any event, luncheon or seminar within the current year.
HST Registration 120006648
PLEASE NOTE:
MEMBERSHIPS ARE NOT TRANSFERABLE
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