Secondary (Test) Membership

this is a test membership for development purposes only.

Please note the following steps prior to sign-up:

1. FOR CURRENT MEMBERS ONLY

2. PLEASE LOG OUT IF YOU ARE CURRENTLY LOGGED IN

3. DO NOT USE YOUR EXISTING MEMBERSHIP EMAIL WHEN SIGNING UP

This is an annual renewal fee for an additional business membership. Only current members with an existing, business membership are eligible.

Price:

Free for 1 Day

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Business/Organization (leave blank if not applicable): Business/Organization (leave blank if not applicable) is not valid

Are you a woman business owner?:* Are you a woman business owner? is Required

Yes (self-employed &/or owns a % of the business AND is involved in the day-to-day operations) No

Job Title: Job Title is not valid

E-mail:* E-mail is Required

Home Phone: Home Phone is not valid

Work Phone:* Work Phone is Required

Work Phone Ext.: Work Phone Ext. is not valid

Cell Phone: Cell Phone is not valid

Fax: Fax is not valid

Company Logo: Company Logo is not valid

Website: Website is not valid

Business Description (100 word max):* Business Description (100 word max) is Required

Products & Services (hold CTRL to select multiple):* Products & Services (hold CTRL to select multiple) is Required

Advertising and MediaTourism and HospitalityBusiness and Professional ServicesFinance and InsuranceHealth CarePersonal Services and CareRetail and Specialty RetailManufacturing, Production and WholesaleAgricultureTransportationConstructionOther

Business Address Line 1: Business Address Line 1 is not valid

Business Address Line 2: Business Address Line 2 is not valid

City or Town (Business): City or Town (Business) is not valid

Province (Business): Province (Business) is not valid

Postal Code (Business): Postal Code (Business) is not valid

Country (Business): Country (Business) is not valid

Home Based: Home Based is not valid

Yes No

Region: Region is not valid

AvalonCentralWesternLabradorOut of ProvinceEastern

May we include your information in the Membership Directory?:* May we include your information in the Membership Directory? is Required

Yes No

Would you like to receive email updates and news from NLOWE?:* Would you like to receive email updates and news from NLOWE? is Required

Yes No

Business/Organization: Business/Organization is not valid

Facebook: Facebook is not valid

Twitter: Twitter is not valid

LinkedIn: LinkedIn is not valid

Pinterest: Pinterest is not valid

Instagram: Instagram is not valid

Blog: Blog is not valid

Organizational Structure of Business:* Organizational Structure of Business is Required

IncorporatedSole ProprietorshipGovernmentNon-ProfitPartnershipPlanning Stages, To Be DeterminedOther

Email:* Invalid Email

I have read and agree to the Terms Of Service*

This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy.

 

No val Please fix the errors above