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Membership Information

You have selected the Participating Member (Service Company) membership level.

The price for membership is $250.00 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. Linkedin

7. Facebook

8. Instagram

9. Services offered: *

10. Marques de commerce:

11. 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

13. 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

14. How did you hear about the 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 :

15. Would you like to offer a discount to our food processing companies, and which one?

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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