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

The price for membership is $385.00 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

The information collected in this form is confidential and used solely for the purpose of managing your file.

Membership Information

Account Information

Billing Address

Profile of your company