Corporate Membership

$1,000.00

Registration Form

Organization Name*

Street*

City*

Province/State*

Postal/Zip Code*

Country*

Email Address*

Telephone Number*

Fax Number

Primary Contact Person

Salutation

First Name*

Last Name*

Position with Organization*

Email Address (if different from above)

Telephone Number

Member Website Access

As a member you will have access to secure areas of the AIC website. Please create a Username and Password below:

Username*

Password*

Confirm Password*

Additional Contacts

You may name up to four other contacts who will receive AIC newsletters and updates.

Contact #2

Salutation

First Name

Last Name

Position with Organization

Email Address

Telephone Number

Member Website Access

Username

Password

Confirm Password

Contact #3

Salutation

First Name

Last Name

Position with Organization

Email Address

Telephone Number

Member Website Access

Username

Password

Confirm Password

Contact #4

Salutation

First Name

Last Name

Position with Organization

Email Address

Telephone Number

Member Website Access

Username

Password

Confirm Password

Contact #5

Salutation

First Name

Last Name

Position with Organization

Email Address

Telephone Number

Member Website Access

Username

Password

Confirm Password

Express Consent

I agree to receive AIC member updates electronically at the emails provided above.*

Membership Agreement

Membership fees are payable annually and are based on the calendar year.

I support AIC’s mission to be Canada’s voice for agricultural research.*

*AIC’s Privacy Policy: AIC maintains a confidential membership list for the purpose of communicating with our members. We do not sell this information. Please read our complete Privacy Policy on our website.

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Description

A corporate membership allows your for- or not-for-profit organization to participate in events that are shaping the future of agricultural research in Canada. And most important of all, it allows you to support the only organization in Canada that is dedicated to promoting and advocating on behalf of agricultural research.

AIC Membership

Corporate Membership

$1,000.00

Registration Form

Primary Contact Person

Member Website Access

Additional Contacts

Contact #2

Contact #3

Contact #4

Contact #5

Express Consent

Membership Agreement

Description

Added to your cart