Application for Supporter Member Constituency
Select Membership Type New Supporter MembershipSupporter Membership Renewal
Your Name
Organization represented
Annual Revenue	less than $500,000
	$500,000 or over
Address
City
Province	British Columbia Alberta Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon
Postal Code
Phone
E-mail address
Name on Credit Card:
Credit Card Number:
CVV2 Number (on back):
Credit Card Expiry (mm/yy):	1 2 3 4 5 6 7 8 9 10 11 12   24 25 26 27 28 29 30 31 32 33 34
The Supporter is a group, or individual, that includes: growers, large processors as mentors, linked associations, technical service providers, educational planners, economic development groups, and does not exclude any interested party. SSFPA bylaws require that a member organization notify the Board of Directors in writing of the name of its delegate, who will be vested with the voting rights of the organization. The list of voters for the Annual General Meeting will close following the board meeting prior to the AGM. Annual Membership Fee is $175.00 + 5% GST for companies with less than $500k in gross revenues and $400.00 + 5% GST for companies with greater than $500k in gross revenues.
I do hereby authorize the Small Scale Food Processor Association to list my Company Name and contact info on their web-site located at ssfpa.net.