Company Membership Application

Application 
Renewal (please update each field, or enter N/C for no change)

Please indicate which type of membership you wish to be enrolled:

Full Member

Entitled to all discounts, subsidies, programs, and may vote and serve on the Board of Directors.

Full Member Annual Fees Including HST:

(1-4 Staff = $285.00)    (5-10 = $355.00)    (11-30 = $500.00)  
(31+ = $710.00)

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The following will be used in our promotional efforts. Please complete in full:
 

Company Name:
Contact Name:
Title:
Address:
City:
Province:
Postal Code:
Tel:
Fax:
E-mail:
Web site:
# of employees:

 

Please Indicate the areas in which you are involved (if applicable):

Agriculture, Land and Marine Wildlife
Air Quality
Composting
Climate Action Consulting
Emergency Response
Emergency Response Planning
Energy Efficiency/Alternative Energy
Environmental Audits
Environmental Consulting
Environmental Data and Information Services
Environmental Education and Training
Environmental Engineering
Environmental Impact Assessments and Studies
Environmental Law
Environmental Monitoring
Environmental Permitting
Environmental Regulations and Standards
Environmental Research
Environmental Studies/Feasibility
Fisheries
Forestry
Hazardous Waste Management
Health and Safety
Instrumentation/Equipment Supplier
Laboratory
Mining and Energy Resources
Natural Resource Management
Noise Control
Parks and Recreation Areas
Recycling
Sewage Waste Management
Site Remediation/Spill Clean-Up/Decommissioning
Solid Waste Management
Underground Tank Installation/Removal
Water Quality
 

Please provide a brief profile describing your products or services: (apr. 150 words or less)

Please send invoice I will send payment within 30 days

 

I hereby agree to join / renew as a member of NEIA. I acknowledge that this information I provided is accurate to the best of my knowledge, and I agree to the standards of NEIA and its Code of Ethics.