Please fill out the form below to begin the membership process. JCI Cape Breton is a membership based organization. To take advantage of a membership in JCI Cape Breton members pay annual membership dues. If you proceed with entering your information below you will be invoiced for Membership Dues at the current rate. Our Membership Initiatives Chair will contact you with further steps.
Street Address:
City:
Province:
Postal Code:
Phone Number:
Fax:
E-mail:
(Important For Group E-mail Sending)
Date of Birth:
Business/Employment Information
Company Name:
Job Title:
Company Address:
Company City:
Company Postal Code:
Company Phone:
Ext:
Company Fax:
Company E-mail:
Company Web Site:
Job Description:
Areas of Interest
Business Initiatives
Community Initiatives
Member & Growth Initiatives
Advocacy & Relations Initiatives
