Membership Renewal & Profile Setup

Membership Renewal Form

Please complete the following member renewal form. If you have any problems please contact cshelson@fortyfournorth.ca.

Contact Information
*
First Name
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*
Last Name
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*
Email Address
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*
Phone Number
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Please enter at least 10 characters.
Password Setup
*
Password
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Please enter at least 6 characters.
    Strength: Very Weak
    *
    Confirm Password
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    Note: This password will be used along with your email address to login to the member portal once registration is complete.
    Mailing Address
    *
    Address
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    *
    City
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    *
    Province
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    *
    Postal Code
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    Professional Details
    *
    Company/Current Employer
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    *
    Current Job Title
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    *
    Industry
    Select OptionManagementBankingFinancial ServicesEntrepreneurInformation TechnologyLegalMedicineSecurityGovernmentSalesInsuranceReal EstateEducationHealth CareEnergyTelecommunicationsOther
    Please select one option.
    Please enter valid data.
    Please select the industry that you are currently involved in.
    Military Service Details
    *
    Military Service Start Date
    Please select date.
    Invalid Date.
    (DD/MM/YYYY). If you do not recall the exact date, please just enter 01/01/ and the year of the start of your service.
    Military Service End Date
    Please select date.
    Invalid Date.
    (DD/MM/YYYY). If you do not recall the exact date, please just enter 31/12/ and the year of the end of your service. If you are still serving you can skip this question.
    *
    Element
    Select OptionLandSeaAirCANSOFCOM
    Please select one option.
    Please enter valid data.
    *
    Specialty / Classification
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    Please enter your trade/specialty/classification
    *
    Regiment / Unit
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    Please enter valid data.
    Please enter your Regiment or Unit affiliation.
    *
    In which country did you serve in the military?
    Text field can not be left blank.
    Please enter valid data.
    Example: Canada, USA, Australia, etc.
    Treble Victor Group Membership Registration Date
    *
    Registration Date
    Please select date.
    Invalid Date.
    (DD/MM/YYYY). As you are an existing member please enter the date that you originally joined 3V. If you do not recall the exact date please enter 01/01 and the year you joined.
    Member Referral Information
    *
    Which existing 3V member referred you?
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    Agreement to provisions of Treble Victor Group Inc.
    *
    Please check the following box...
    The Undersigned agrees to the provisions of Treble Victor Group Inc. which
    Please check one option.
    Please enter valid data.
    a) acknowledges that the Corporation is a non-share capital corporation incorporated by letters patent dated December 1st, 2010 (the “Letters Patent”) pursuant to the Corporations Act (Ontario) (the “Act”) and confirms that the undersigned wishes to become a member of the Corporation;

    (b) confirms that he/she understands that the Corporation is a not-for-profit corporation which was incorporated solely for the purposes enumerated in the Letters Patent, available to paid members under My Account Section as well as our By-Laws;

    (c) acknowledges and agrees that membership in the Corporation shall at all times be subject to the provisions of such General By-Law and the Letters Patent, including the fact that the within Application for Membership is subject to approval by the board of directors of the Corporation;

    Note that the above mentioned documents are available for download.
    Consent to electronic communication and exemption of audit requirements
    *
    Please check the following box...
    The undersigned agrees that, if the within Application for Membership is approved by the board of directors of the Corporation in accordance with the General By-Law, the undersigned
    Please check one option.
    Please enter valid data.
    (a) consents to the holding of any meeting of the members by means of such telephone, electronic or other communications facilities as permit all persons participating in the meeting to communicate with each other simultaneously and instantaneously; and

    (b) irrevocably consents to the Corporation being exempt from the requirements of Part II of the Act regarding the appointment and duties of an auditor in respect of the each and every financial year of the Corporation, as long as the Corporation (i) is not a public corporation and (ii) the annual income of the corporation is less than $100,000.
    Electronic Signature
    *
    Full Name
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    Enter your full name as your electronic signature...
    This Application for Membership may be signed in counterparts which together shall be deemed to constitute one document, and delivery of the counterparts may be effected by means of telecopier or email or other form of electronic transmission from the undersigned to the Corporation and vice versa.
    Profile Image & LinkedIn
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    Avatar
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    Please copy and paste the URL to your LinkedIn profile below.
    LinkedIn
    Pay Now Using Your Credit Card
    Credit Card Number
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    Maximum 16 digits allowed.
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    Expiration Month (MM)
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    Expiration Year (YY)
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    CVV Code
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    How you want to pay?

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