Service Member Application

Step 1 of 2

Company Name(Required)

Contact Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Email(Required)

Website

Twitter

Facebook

Type of Business(Required)

Description of Company Products or Services(Required)

I agree to have the above information listed in the following Alberta Association of Agricultural Societies locations

Select all that apply

Website

Convention Materials

Newsletter

AAAS App (Buyers Guide)

Other AAAS Publications

Membership Type(Required)

Please send your cheque by mail to:

Alberta Association of Agricultural Societies

Suite 108, J.G. O’Donoghue Bldg.,

7000 – 113 Street, Edmonton, AB T6H 5T6

AAAS will send you a copy of your receipt once payment is finalized. There is no GST charged for Membership Fees.

Signature(Required)

I agree to the terms and conditions

Date(Required)

Signature(Required)

Total

Payment Option

Pay By Cheque

Pay Online VIA Credit Card

Credit Card(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

This field is for validation purposes and should be left unchanged.

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