Membership Application – Canada-India Trade and Investment Council

Membership Application Form

MEMBERSHIPCITI Council reserves the right to review and approve all membership applications. To complete your application process please submit: (1) a completed membership application form; (2) full payment of annual membership fee. Please refer to annual membership fee structure. CITI Council membership is valid for one year; from the day of payment to 12 months after. Membership is non-transferable. Contacts within the same organization are transferable and there is no limit to the number of contacts that can participate as members. Note: Universities, not-for-profit organizations and government agencies can join at the C$1,700 + HST. Membership dues paid in Canada are in Canadian dollars. Tax rates will be applied and based on the registered business address of the member company.

Please indicate the type of membership you are applying for: *Global MemberAnnual Benefactor

Organization Name *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone Number *

Fax Number

Position *

Date *

Input the sector(s) that best represent your organization's activities *

Core products/Services *

Web site *

Gross Annual Revenue (in Canadian currency) *

Current Offices in Canada

Current Offices in India

How many employees do you have in Canada? *

How many employees do you have in India? *

Prefix

First Name *

Middle Name

Last Name *

Would you like to be added to CITI Council's mailing list to receive updates and notices? *YesNo

PRIMARY CONTACT

Prefix

First Name *

Middle Name

Last Name *

Phone *

Mobile

Fax Number *

Title

Email Address *

Organization *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

SECONDARY CONTACT

Prefix

First Name *

Middle Name

Last Name *

Phone *

Mobile

Fax Number *

Title

Email Address *

Organization *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

MAIN CONTACT IN INDIA

Prefix

First Name *

Middle Name

Last Name *

Phone *

Mobile

Fax Number *

Title

Email Address *

Organization *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

BILLING INFORMATION

Prefix

First Name *

Middle Name

Last Name *

Phone *

Mobile

Fax Number *

Title

Email Address *

Organization *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

REFFERED BY

Prefix

First Name *

Middle Name

Last Name *

Phone *

Mobile

Fax Number *

Title

Email Address *

Organization *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

INTERNAL USE ONLY

Online Directory User Name *

Title *

Email Address *

Date *

Comments

CANADA-INDIA TRADE AND INVESTMENT COUNCIL

230 Richmond Street West, Suite 504

Toronto, ON, R6H 5A3, CA

info@citi-council.com

+1(413)111-1234