APPLICATION FORM

2021.04.27 2021.04.23

Japan Canada Chamber of Commerce
Membership Application Form

Name of JCCOC members who referred you to us
Purpose of Application
Company Name*
Address*
Phone*
Representative Person*
Title（jp/en）*
Representative Person 2
Title（jp/en）
Contact Person
Email*
Date of Foundation（mm/dd/yy）
Number of total employees
Person who we should send bill to
Email
Membership	Corporate MemberAssociate Member
Brief Description of Business*
	YesNoI agree that the content above can be shared on the JCCOC Official Website.
Company Website
	YesNoI agree that the content above can be shared on the JCCOC Official Website.
Form on Business	Canadian corporationForeign corporation (Non- Canadian)Foreign-capitalized joint venture corporationJapanese corporationOther
JCCOC Category*
PRIVACY POLICY	I agree to the privacy policy

Sections with * will be on our membership list (open to members, NOT to the public)