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You have selected the Participating Member (Food Processor) “Feed Your Growth” Package membership level.

The price for membership is $285.00 per Year starting 10 January, 2027. *

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Adresse courriel

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Billing Address

First Name

Last Name

Address 1

Address 2

City

Pays

Postal Code

Country

Phone

Function *

Company *

Billing email address

The billing address is the same as the company address

Profile of your company

1. COMPANY ADDRESS

Address 1 *

City *

Country *

Postal code *

2. Indiquez votre région administrative: *

3. Quelle est la date de création de votre entreprise ? *

4. Website

5. Numéro d’entreprise du Québec (NEQ) / de votre entreprise (N/A si non applicable): *

6. Numéro d’immatriculation ministérielle (NIM) / de votre entreprise (N/A si non applicable): *

7. Êtes-vous inscrit au Répertoire des aliments québécois (RAQ) ? *

Yes

8. Linkedin

9. Facebook

10. Instagram

11. Product attributes: *

12. Marques de commerce:

13. Taille de l’entreprise:

1 to 4 employees

5 to 10 employees

10 to 20 employees

20 to 49 employees

50 to 99 employees

100 to 199 employees

200 and more

15. Êtes-vous en sous-traitance? *

Yes

16. Distribution area:

17. Product attributes

18. Sales sector:

Large-scale distribution (supermarkets, warehouse stores, …
Institutional market distribution ( Healthcare, Education,…)
Farmers' market/ country market
Street shops ( bakery, pastry )
Independant grocery stores
On-line sale / online sale

19. Certifications / Claims of products *

20. Do you offer subcontracting services?

21. What are your plant certifications or those of the subcontractor *

22. Méthode de conditionnement des produits:

Tablette
Frais
Congelés

23. Vendez-vous au réseau HRI?

No and I'm not interested
No, but I want to sell to the HRI network
Hospitals
Universities
Guard Service
Restaurants et bars
Educational institutions
Hotels
Residences for the elderly

24. Check the CIBÎM activities corresponding to your interests:

Déjeuners conférences / webinaires
Salons consommateurs
Salons acheteurs
Formations
Mentorat / coaching
Réseautage
Rencontres d’acheteurs
Accompagnement pour la réglementation

25. Comment avez-vous entendu parler du CIBÎM? *

Website
Social media
Word of mouth (name the person or organization that referred you) :
Write here :
Consultant (name the person or organization that referred you) :
Write here :
Other (please specify) :

Write here :

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Payment of membership

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Membership Information

Account Information

Billing Address

Profile of your company