SELECT TYPE OF MEMBERSHIP FOR NEW MEMBER ORGANIZATION REGISTRATION

General Membership (Not for Profit Organization)
Associate Membership (Business Organization)

NOT FOR PROFIT ORGANIZATION’s GENERAL INFORMATION

Name of Not for Profit Organization

Is the Not for Profit Organization registered in Canada?

Yes
No

Province of Registration

Year Founded (YYYY):

Mailing Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What is the mission and/or objective of the organization?

What is the scope of your organization (check one)?

REPRESENTATIVE’S INFORMATION

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

FCNC prefers the organization to be represented by the incumbent President/Chair/Head of the organization.

Is President/Chair/Head of the organization will be the representative?

Yes
No

Title of Organization's Representative:

First Name:

Last Name:

Phone

Email

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

AREAS OF INTEREST:

BUSINESS ORGANIZATION’s GENERAL INFORMATION

Name of Business Organization

Is the Business Organization registered in Canada?

Province or Territory of Registration

Year Founded (YYYY)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email

Website / URL

Facebook

Twitter

Other Social Media

What is the purpose of the Business Organization?

Sponsoring you Email

What is the geographical scope of the Business Organization?

Local
National
Global

Who are the target market or client focus of the Business Organization?

Business Organization – Industry Classification: North American Industry Classification System (NAICS)

What is the Business Organization looking to achieve by joining FCNC?

What is the Business Organization areas of interest?

Number of employees

Average Annual Sales Revenue

REPRESENTATIVE’S INFORMATION

Name

First

Last

Phone

Email

Position

Sponsoring FCNC member:

Are you paying the New Membership Fee of $ 100.00 online via credit card?

AUTHORIZATIONS:

Membership Attestation

I confirm to represent the above-mentioned organization, agree to abide by the rules and regulations for members of the Filipino Canadian National Congress (FCNC) and to arrange for payment of all dues as agreed upon. We acknowledge that our membership may be subject for review, revocation, suspension, or termination if the FCNC Membership Committee, with the approval of the Board of Directors, concludes that our organization including any of its directors, officers, or members have violated FCNC’s rules, regulations, general instructions, and/or fail to clear charges in time.

If you will pay the New Membership Fee of $ 100.00 via Interac e-Transfer, please use email address: finance@fcnccanada.org

Payment Confirmation

New Membership Fee – $100.00

Total

$0.00

Credit Card Payment Thru Stripe

FCNC General Membership – New Member Organization Online Application Form

NOT FOR PROFIT ORGANIZATION’s GENERAL INFORMATION

REPRESENTATIVE’S INFORMATION

FCNC prefers the organization to be represented by the incumbent President/Chair/Head of the organization.

BUSINESS ORGANIZATION’s GENERAL INFORMATION

REPRESENTATIVE’S INFORMATION

AUTHORIZATIONS:

If you will pay the New Membership Fee of $ 100.00 via Interac e-Transfer, please use email address: finance@fcnccanada.org