Membership ApplicationTrish2018-07-21T16:46:39-04:00

Membership Application

Complete the application form and mail it to Canadian Process Control Association, 146 Delarmbro Drive, Erin, ON N0B 1T0.

Word document (fill-in enabled)
PDF (fill-in enabled)
Fill out the online application form below

Notes:

All industry members are required to provide monthly statistical reports and the annual product report.
All new members must be approved by the CPCA Board of Directors
An initial payment of 50% of the applicable membership fees will be held as a deposit until such approval is given.

Membership Online Application

* Company Name

* Address

Street Address

Address Line 2

City

State / Region / Province

ZIP / Postal Code

Country

* Phone:

* Website

* Representative Name

First

Last

* Representative Title

Representative Direct Line

* Representative Email

Controller Name

First

Last

Controller Title

Controller Direct Line

Controller Email

HR Name

First

Last

HR Title

HR Direct Line

HR Email

Regulatory Representative Name

First

Last

Regulatory Representative Title

Regulatory Representative Direct Line

Regulatory Representative Email

* Annual Sales (Last Year - FY)

* Membership Dues

$1,525.50 - Annual Sales $150K - 3M

$1,,892.75 - Annual Sales $3 - 5M

$2,655.50 - Annual Sales $5 - 10M

$3,051.00 - Annual Sales $10 - 20M

$3,785.50 - Annual Sales $20 - 50M

$5,339.25 - Annual Sales $50 - 100M

$7,571.00 - Annual Sales $100M+

Membership fee amounts are inclusive of all applicable taxes.

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