Member Application

Instructions

Please select the membership type and fill out the application form. When you have completed this step you will receive a completion message. If you would like to receive an invoice instead then please contact info@viatec.ca and we will be more than happy to send you an invoice for your new membership, thank you.

Select An Option

Community Builder

Sustaining Patron

Service Member

Select Level

Tech. Org.

Select Level

Tech. Start Up

Assoc. Individual

Tech. Up Island

Assoc. Student

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

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Member Application

Victoria Innovation, Advanced Technology & Entrepreneurship Council