Member Application

Thank you for choosing to join Tech Manitoba. Tech Manitoba represents the fastest growing sector in our province and we are delighted that you are part of this growth. Please familiarize yourself with the different membership rates before filling out this form. If you have any questions in regard to membership with Tech Manitoba or the application form, please call our Member Manager at 204-880-3640 or e-mail membership@techmanitoba.ca. Membership begins on your sign-up/invoice date for a 1 year period.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Mailing Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

Province *

Please add your Province .

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Step 2:

Additional Info

Business Description

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Reason for Joining *

Looks good!

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 4:

Membership Package

Please select a Membership Package

Start-ups and Sole Proprietors $ 150

(1-2 Employees)

Bronze Level $ 350

(3-10 Employees)

Silver Level $ 750

(11-50 Employees)

Gold Level $ 1,500

(51-250 Employees)

Platinum Level $ 3,000

(250+ Employees)

Affiliate $ 750

Academic, Research, Government, and Associations

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

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