Membership Application Form – old

Company Information

Contact Information

Please provide two references, including company name (if applicable), contact person, address, telephone, and email address. One reference is sufficient if the reference is a Member of the Association and has a business relationship with your company. For applicants that provide consulting services, references must be from a company with an offset (IRB/ITB/VP) obligation in Canada. Please provide complete contact information for your reference(s).

Reference 1

Reference 2

Annual IPAC Membership fees cover the period January through December and are invoiced in January of each year, payable upon receipt.