Membership Checkout - Cosmetics Alliance Canada

Membership Level (Edit)	Already have an account? Log in here
You have selected the Retail Membership. Membership expires on December 31, 2018. Do you have a discount code? Click here to enter your discount code.	Retail Membership – Companies that directly own and operate general retail stores, outlets or channels that are engaged in the sale of personal care products to consumers. Membership Fees – $2657/Year Please note that Your membership fee will be prorated to December 31, 2018.
Discount Code (For companies that have been in business five years or less.)

Membership Level (Edit)

You have selected the Retail Membership.

Membership expires on December 31, 2018.

Do you have a discount code? Click here to enter your discount code.

Retail Membership – Companies that directly own and operate general retail stores, outlets or channels that are engaged in the sale of personal care products to consumers.

Membership Fees – $2657/Year

Please note that Your membership fee will be prorated to December 31, 2018.

Account Information
First Name * Last Name * Job Title * Username Or Email Password Confirm Password E-mail Address Confirm E-mail Address

Company Information

Company Name *

Address 1 *

Address 2

City *

Province *

Postal Code/Zip *

Country *

Phone *

Fax

Website

Directory Description *

Grand_total

Membership_type

Is_pushed_to_salesforce

Fiscal_price_value

Choose Your Payment Method
As we are a non profit, in order to save on our credit card fees, please consider paying by cheque for dues over $5,000.
Pay By Credit Card Pay by Cheque/Direct Deposit
HST#: R106844814

Billing Address	Same as Above
First Name Last Name Address 1 Address 2 City Postal Code/Zip Province Country Phone

Discount Code

(For companies that have been in business five years or less.)

Payment Information

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Card Number:

Name on Card:

Expiration Date:

CVV:

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