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Membership is open to any organization or person carrying on a business or profession who subscribe to the By-laws, Board Policies and the Aims and Objectives of Council. The determination of eligibility and type of membership shall be made in accordance with Council's Board Policy.

# of Employees	Membership
1-10 (small)	$254.25
11-50 (medium)	$339.00
51-100 (medium-large)	$593.25
101+ (large)	$791.00

Company:

Company Street Address 1:

Company Street Address 2:

Company City:

Province:

Company Postal Code:

Company phone:

Company fax:

Company overview:

Region:

Sector:

Other branches:

Employees:

Primary Contact Name:

Primary Contact Title:

Primary Contact Email:

Primary Contact Phone:

CEO Name:

CEO Email:

CEO Phone:

Additional Contact 1 Name:

Additional Contact 1 Title:

Additional Contact 1 Email:

Additional Contact 1 Phone:

Additional Contact 2 Name:

Additional Contact 2 Title:

Additional Contact 2 Email:

Additional Contact 2 Phone:

Additional Contact 3 Name:

Additional Contact 3 Title:

Additional Contact 3 Email:

Additional Contact 3 Phone:

Additional Contact 4 Name:

Additional Contact 4 Title:

Additional Contact 4 Email:

Additional Contact 4 Phone:

Additional Contact 5 Name:

Additional Contact 5 Title:

Additional Contact 5 Email:

Additional Contact 5 Phone:

Payment Method?

Send Invoice
Pay With Credit Card

Do you have a purchase order?

If applicable enter purchase order number:

Note: By submitting this form, the contact person, on behalf of the above-named employer, applies for membership in the Newfoundland & Labrador Employers' Council and hereby subscribes to the aims and objectives of the Council.