Honour House Society

Corporate Member

Company Mailing Information

Company Name:

Mailing Address:

Address 2:

City:

Country:

Province:

Postal Code:

Phone:

Toll Free:

Fax:

Website:

Company Primary Contact

Prefix:

First Name:

Last Name:

Job Title:

Email:

General Email:

Which email do you want to display in the Member Directory?

Phone:

Ext:

Cell:

Consent for Collection, Use and Disclosure of Personal Information

By selecting “Yes”, I consent to the collection, use and disclosure of my personal information for the purposes of verifying my membership in the Honour House Society (“HHS”). I understand that the HHS collects this personal information to record in its central database for use as described in the HHS Privacy Policy. Personal information includes attributes such as member’s name, address, telephone number, email address & birth date.

I have read and accepted the Consent for Collection

Yes

Membership Fee

Corp member : $20.00

Donation to Honour House Society

CDN tax receipt provided

Register

Corporate Member