Mailing/Contact – Information Update
Company: _____________________________________________________________
Address: _____________________________________________________________
City: _______________________ Province _____________ PC______
Phone (_____)_________________ Fax (_____)____________
Email _______________________
Annual Membership Fees
|
Category (please circle) |
Code |
Number of Employees in Category |
Actual Number of Employees (please fill in) |
Annual Membership Amount |
|
Individual |
I |
1 |
|
$15 |
|
Non-Profit |
NP |
All |
|
$75 |
|
Small |
A |
0-25 |
|
$75 |
|
Medium |
B |
26-50 |
|
$100 |
|
Large |
C |
51-100 |
|
$200 |
|
Major |
D |
101 + |
|
|
Operations with 3 or more divisions are eligible for a 15% discount if all locations join the Council at the same time.
Amount Enclosed: ______________
Drug Free Workplaces Training opportunities
Are you interested in attending a workshop in your area? Yes □ No □
Are you interested in holding a workshop at your workplace Yes□ No □
