Membership Application

Company Details

Step 1 of 4. Please enter information on your company.

Company Name(Required)

Company Address(Required)

Phone Number(Required)

Cellular Number

Website

Employees

Year in Business

What is your primary industry? Select only one(Required)

Construction

Manufacturing

Resource Industry

Business Services

Transportation

Automotive

How did you hear about the ICBA

Key People

Step 2 of 4. Please list the names of one executive and one administrator for your firm.

Executive Name(Required)

Executive Title(Required)

Executive Email(Required)

Administrator Name(Required)

Administrator Title(Required)

Administrator Email(Required)

Additional Optional Contacts - Training

Please add additional contacts in your company to receive ICBA Training updates

Training Contact 1

Training Contact 1 Title

Training Contact 1 Email

Training Contact 2

Training Contact 2 Title

Training Contact 2 Email

Additional Optional Contacts - Group Health Benefits

Please add additional contacts in your company to receive ICBA Benefits updates

Business Contact 1

Business Contact 1 Title

Business Contact 1 Email

Business Contact 2

Business Contact 2 Title

Business Contact 2 Email

Additional Information

Step 3 of 4. Last two questions, you're almost done 🙂

Which category best applies to your company? (Choose 1)

• Which trades do you directly employ (not sub-contract)? (Select all that apply)

Payment Information

Step 4 of 4. Please select a membership level. (Fee total includes GST.)

• Please select a membership level. (Fee total includes GST.)

Contractor/Trade membership - Up to $1 Million Annual Business Volume (Fee: $488.25)

Contractor/Trade Membership - $1 Million - $5 Million Annual Business Volume (Fee: $945.00)

Contractor/Trade Membership - More than $5 Million Annual Business Volume (Fee: $2,026.50)

Supplier Membership* - Less than $1 Million Annual Business Volume (Fee: $651.00)

Supplier Membership* - $1 Million - $5 Million Annual Business Volume (Fee: $976.50)

Supplier Membership* - More than $5 Million Annual Business Volume (Fee: $1,627.50)

Completion and Next Steps

• Thank you for completing this form. Once you submit this application, ICBA staff will review and process it. After your membership has been approved, we will send you a secure credit card payment link to complete the membership enrollment process. You will receive a welcome package shortly after. If you have any questions, comments, or special instructions for us, please add them here.

If you have any questions, comments or special instructions for us, please add them here.

Membership Application