Please fill out this member application and we will get in touch with you shortly. Name* First Last Organization NameIf you are an organization- please submit sign tile text:This would look something like below. Please keep it concise. Your company name We help do this thing that helps achieve this goal. www.websiteaddress.comWhat type of Membership are you looking for?*Organizational ($120/year)Individual ($50/year)Student ($25/year)Please select the type of membership you are interested in. This will help us invoice you correctly.Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Mobile PhoneFax NumberEmail* Social Media: Facebook, Twitter, Instagram, LinkedIn addressesDo any of these words describe your organization? (Select one or more.)* Student Consultant/facilitator Sole proprietor of local business Artist Professional Innovator/entrepreneur Government employee Researcher Educator Community advocate Technician What sector(s) describes your organization? (Select one or more).* Environment Arts Culture Social Justice Health and Disability Technology Economic Development Public Space Professional Association Law Politics Social services Recreation Capacity building Community development Social purpose business Advocacy Agriculture/Sciences Please describe the skills/resources/experience that you could share with the 10 Carden community of changemakers.*How did you learn about 10 Carden?When is your preferred start date? For those considering space rental membership at 10 Carden - how often do you anticipate booking space? Multiple series of bookings throughout the year Weekly Monthly 4 x per year 1 x per year not sure Describe the types of organizations with which you most frequently collaborate?*What is the mission/mandate of your organization/project?*Please indicate which of these words best describes your organization’s legal structure* Registered Charity Registered Not-For-Profit Incorporated Not-for-profit Incorporated For-profit B Corporation Co-op Partnership Sole Proprietorship Individual How long has your organization or project been operating?How many employees/current members are there in your organization?* 1 2-5 6-10 11-25 26-50 51-100 101-500 501 + Please select the word that best describes your organization or project*Idea or project phaseEmerging (incorporated or in process of incorporation)Growing (less than 2 yrs old)EstablishedDo you have any other information about your organization or ideas/input that you'd like to share with 10 Carden?PhoneThis field is for validation purposes and should be left unchanged.