Membership Application with the Amount Selection

Confirm Annual Membership Option*
- Annual Payment ($3,559.50)
Annual Fee Payment
- Total $3,150.00
- HST $409.50
Total $3,559.50
Confirm Annual Membership Option*
- Annual Payment ($4,746.00)
Annual Fee Payment
- Total $4,200.00
- HST $546.00
Total $4,746.00
Confirm Annual Membership Option*
- Annual Payment ($3,164.00)
Annual Fee Payment
- Total $2,800.00
- HST $364.00
Total $3,164.00
**Membership auto-renews on your anniversary (application) date at the regular membership rate of $4,125/year plus tax.
Choose Payment Option*
- Pay Online Now
If you have any questions or concerns, please contact Nancy Vrbanek at nvrbanek@innovators.org or 647-986-2206.

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First Name*
Last Name*
Company*
Email*
Phone*
Select First Choice of Workshop*
Select Second Choice of Workshop*
Portions of our event will be videotaped and made available for viewing on our website and may be used as promotional material by Innovators Alliance. By agreeing, you understand that all your rights in and to the Material recorded shall be Innovators Alliance’s sole and absolute property.
*
- Yes, I consent to being videotaped
- No, I do NOT consent to being videotaped
Admission to the event for full members is free. +ONE members and intrapreneurs will be invoiced $149 through Freshbooks.