Corporate Member Directory application form

Take advantage of this valuable marketing tool and ensure that your profile is published on our website.

Contact name *

Job title *

Telephone number *

Address *

City, Province/State, Postal Code/Zip Code/Country *

If other, please specify:

Short description of your organization (maximum of 75 words in English and 80 in French; French is not mandatory) *

Please attach your company logo (JPG or PNG only/RGB format) *

Increase your networking success through the CIM Corporate Directory by allowing us to publish your email address.

Yes (please provide the information requested below)
No

Please include my email address in the CIM Corporate Member Directory

Website

ReCAPTCHA *

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