MEMBERSHIP FORM


2013-05-23

Information
Address

300$+tx
company or organization
with fewer than 10 employees

650$+tx
company or organization of more than 10 employees


Regular Members :

Only corporations or companies whose primary business is directly related to the manufacture or formulation of industrial chemicals in the province of Quebec may be regular members of the Association.

Affiliate Members :

The classification of an affiliate member is open to any person or corporation or partnership that does not qualify as a regular member, but interested in the promotion of one or all of the objectives of the Association.

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(This description will be posted on the website, maximum 150 words)
(maximum 1000 words)
(maximum 1000 words)
  
(maximum 150 words)

Nottez que vous devez attendre la facturation avant d'émettre un paiement.
** Cochez la case suivante afin de confirmé que vous avez compris.  

Desired payement method
MasterCard Visa
The invoice will arrive by email only
Membership is for a period of one year and must first be approved by the Board of ADICQ.
Membership will be effective upon receipt of payment.