Membership Form

Membership Form

To register or renew your membership, please fill out the form below. Membership categories and fees are as follows:

	LEAD Canada Full Members	LEAD Canada Alumni	Friends of LEAD
Eligibility	LEAD Fellows and Associates who were/are part of a Canadian cohort (completed or in progress), or of another LEAD Member Program and currently residing in Canada	All LEAD Canada Fellows or current Associates	Anyone who is interested in LEAD goals and objectives
Benefits	Newsletter Website Profile Invitation to LEAD Canada events (at LEAD Member Cost) Can vote at meetings Can be elected to the Board of Directors Can represent LEAD at International Sessions Inside track opportunities Ability to attend International Sessions Other benefits (e.g. discounts, etc.)	Newsletter Website Profile Invitation to LEAD Canada events	Newsletter Invitation to LEAD Canada events
Cost	$15 per year Or $100 lifetime (plus applicable sales tax)	none	none

***Note: if you are paying for a full membership, after submitting the form below, you will be sent an electronic invoice and/or payment form.

If you have any questions or comments, please contact office@leadcanada.net

* Required fields
Name *
E-mail Address *
	I'm renewing my membership, all information remains the same as last year
Company name
Position
LEAD Membership Level *	LEAD Canada Full Member ($15 annual fee) LEAD Canada Full Lifetime Member ($100) LEAD Canada Alumni Friends of LEAD Canada
Mailing address *
Telephone number *
How would you like to pay? *	N/A Cheque Credit card

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