Company Information Company Name * Company Address * Country * Canada USA Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czechia Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Province/Territory/State * Select province/territory/state Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon City/Municipality * Postal/Zip * Contact Information Contact Name * Contact Title * Contact Email * Contact Phone Contact Cell Webpage Membership Details Membership Type * Individual/Single Entity Corporate Group Where and when was your company incorporated or established? * What is the legal nature of your company? * Affiliated corporate entities * If applying as a Corporate Group, please list your affiliated corporate entities, including their representative's name and email address, that may wish to be involved in the Association References 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 Company Name Name * Title * Email * Phone * Reference 2 Company Name Name Title Email Phone Applicant Reason(s) to join * Why do you wish to join the Association and how did you hear about the Association? If it was through a Member, please list who it was. The applicant name and email address will be used to create the member account if this application is approved. Applicant is the same as the primary contact Applicant Name * Applicant Email * Agreement List * I hereby certify that my company had, has or expects to have an IRB/ITB/VP obligation, or is supporting as a consultant a company or companies which have or expect to have an IRB/ITB/VP obligation. I hereby certify that if approved to become a Member, I will be bound by and obey the Bylaws of the Industrial Participation Association of Canada (IPAC), including an obligation to pay annual dues to maintain membership in good standing, and comply with the policies applicable to Members, including but not limited to, its Antitrust Policy and Non-Discrimination Policy. Copies of the Bylaws and above referenced policies will be made available upon request. An invoice for annual dues will be sent once membership has been approved by the Executive Committee. I hereby certify that the applicant (prime contractor, subcontractor, business entity, or individual) is not included on any denied party and similar lists in its country of formation, and the applicant (and its owners and affiliates) is not listed on any denied party and similar lists maintained by Canada and/or the jurisdiction of the applicant. I hereby certify that the company is duly organized and in good standing in its jurisdiction of formation. I understand that only employees or partners are entitled to the benefits of membership in the Association, including representation at meetings, conferences, training, etc. Subcontractors, non-affiliated companies and consultants to Members are not permitted to benefits of a membership unless they are Members as well. Annual IPAC Membership fees cover the period January through December and are invoiced in January of each year, payable upon receipt. Prev Next Submit Application
