Member Application

Thank you for choosing to join ICTAM. Please familiarize yourself with the different membership rates before filling out this form. If you have any questions in regard to a membership with ICTAM, please call our Member Services Specialist at 204-944-0533. Membership begins on your sign-up/invoice date for a 1 year period. ***Once the form is submitted, our ICTAM Member Services Specialist will contact you regarding membership payment.***

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Mailing Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.

Step 2:

Additional Info
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.

Step 4:

Membership Package
Please select a Membership Package
Payment Option
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