Join PVMA

Individual Membership Application

(Do not fill out this form for Group or Corporate Memberships - you must use the PDF form instead)

 
Email Address:  
Password (for login):  
Password (re-enter for verification):  


Company Name:

  Enter your full name if you are not a company.
Company Description  
Short Description   Enter a short description of your company. Maximum 25 Words
Public Contact Information
    The information below is displayed to the public. Do not enter any information you wish to keep private.
Contact Name:  
Phone:  
Fax:  
Company Website URL  
Private Billing Address
    These fields are required for billing purposes. This information is not displayed to the public.
Billing Contact Name:  
Billing Phone:  
Billing Address  
City  
Province  
Postal Code  
Public Business Address (optional)
    This address is displayed to the public on the member profile page.
If you do not wish to display your address, do not fill in this information.
Business Address  
City  
Province  
Postal Code  
Options
Number of Employees:  
 
Employees Fee GST Total
1+ $125.00 $6.25 $131.25

 

Category #1  
Category #2  
Category #3  
 
Purchase Enhanced Package  

 

Enhanced Listing is $xxx

 
Featured Member   This option includes the following features
  • Add an advertisement to your member profile page
  • Listing in the "Featured Member" section on the website

Featured Member Option is $xxx
Note: You must select the Enhanced Package before you can be a Featured Member.

 
Member Dues   $105.00
+ 5% GST   $5.25
Total   $110.25 per year
 
Keywords (for search engines)  

Add keywords and phrases that you want to help people find you. Separate them by commas.

 

   

Currency Canadian Dollars CAD
Notice: All sales are final. No refunds
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Offline Payment and Application Options

Click the "Submit this form" button to continue the online registration process. Once you have submitted your application you will be prompted to make payment online. To pay in person instead, simply complete the form, then visit our Leduc office to make payment. You may also send payment via Canada Post to our mailing address.

If you do not want to apply online, you can also download the application, print it and fax it to us and make payment in person or through the mail as indicated above.

Download PDF Click here to download our application form