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

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1. Company Information (Required.)

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2. Other Information (Required.)

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3. Information for suppliers (Required.)

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4. Marketing Contact Information. Best contact for logo, marketing collateral, etc. (Required.)

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

CONTACT INFORMATION

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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. (Required.)

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

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

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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. (Required.)

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

SUPPLIER DIVERSITY PROGRAM OVERVIEW

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

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

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

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

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

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16. I'd like more information on... (Required.)

BILLING INFORMATION

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

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

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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. (Required.)

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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.

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

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22. Additional Comments about invoicing and payment processing

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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.

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24. Authority (Required.)

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25. Today's date (Required.)

Date

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26. Name of the person filling out the form (Required.)

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