Application must be completed in full for processing. Please use N/A in any fields that are irrelevant for your organization. This form does NOT collect the payment. We will invoice you after we review and approve your application. 
COMPANY PROFILE

Question Title

* 1. Company Information

Question Title

* 2. Other Information

Question Title

* 3. Information for suppliers

Question Title

* 4. Marketing Contact Information. Best contact for logo, marketing collateral, etc.

Question Title

* 5. Do you want this contact to be added to our general communications list (newsletter) for updates on upcoming events and opportunities?

CONTACT INFORMATION

Question Title

* 6. Primary Contact Information. This contact will be used for communication during the application process and on-boarding. This contact will also be a primary representative of the organization at the WBE Canada's Annual Members Meetings and be added to our exclusive Corporate Member email list to keep you informed about upcoming events, latest updates and opportunities.

Question Title

* 7. Secondary Contact Information. Provide information for person assigned as the back-up contact in case Primary Contact is away or unavailable.

Question Title

* 8. Which of the following do you want this contact to be added to? (Select ALL that apply)

Question Title

* 9. WBE Canada's database allows our WBEs to view only ONE contact for each Corporate Member. Who should be listed as the primary contact for your company in the online WBE Canada database? All our certified WBEs will see this information.

Question Title

* 10. If "Other", please let us know the name, title, phone & email of the person you want us to publish.

SUPPLIER DIVERSITY PROGRAM OVERVIEW

Question Title

* 11. Do you currently have a supplier diversity program for Canadian women-owned businesses?

Question Title

* 12. Would you like us to work with you to create or improve your supplier diversity program?

Question Title

* 13. Do you / Do you plan to... (Select ALL that apply)

Question Title

* 14. What was your diverse spend with Canadian certified WBEs in your last fiscal year?

Question Title

* 15. How many certified WBEs did you purchase from in your last fiscal year?

Question Title

* 16. I'd like more information on...

BILLING INFORMATION

Question Title

* 17. Membership dues (Select what applies, applicable taxes are added on top of the membership fees)

Question Title

* 18. Membership agreement (You MUST agree with BOTH)

Question Title

* 19. I UNDERSTAND THAT THIS APPLICATION IS CONSIDERED A COMMITMENT AND THAT MY CORPORATION WILL START RECEIVING MEMBERSHIP BENEFITS ACCORDING TO THE DATE MY APPLICATION IS RECEIVED.

Question Title

* 20. Billing Contact. Who in your organization will be our go-to person for invoicing and payment processing? This contact will NOT be added to any distribution list.

Question Title

* 21. Corporate payment requirements (Click all that apply for your organization)

Question Title

* 22. Additional Comments about invoicing and payment processing

Question Title

* 23. Is there anything else you want us to know as we process your application?

Membership Statement
The undersigned hereby applies for Corporate Membership for the applicant in WBE Canada and in this regard confirms compliance with the requirements for the Membership set out in Terms of Service by confirming that I:

(i) am committed to furthering the Purposes of WBE Canada;

(ii) am in agreement with the Vision, Mission, Governing Documents and policies of WBE Canada;

(iii) am over the age of eighteen (18) years.

Question Title

* 24. Authority

Question Title

* 25. Today's date

Date

Question Title

* 26. Name of the person filling out the form

( Privacy & Cookie Notice

T