Individual Member Registration

Name*

First Name Last Name

Phone*

EXT

Please Select

Fax Number

Email*

Title

Organization

Hidden

POC Chapter*

Referred By

Please specify

Preferred language*

English
French

Do we know each other?

If you have previously taken one of our courses or attended one of our events, please check this box so we may find you in our database.
Please check this box if you do not want to share your contact information with any of POC's associates, sponsors or advertisers.

Location information

Address*

Street Address City Province Postal Code

Business Information

First year of business (four-digit year only). If you haven't started your business yet, leave blank:

Business description:

Qualifications: (500 character limit)

Membership
$ 270.00 - New Member Fee
$ 50.00 - Admin Fee

Consent*

By submitting this application form, I agree to abide by the POC Code of Ethics.

Please hit submit only once and wait for the process to finish. Do not use your back button and do not refresh this page.

You will need to confirm your email address before login details are emailed. Please check your inbox after your payment is made.

Individual Member Registration

Location information

Business Information

Footer

Professional Organizers in Canada