Application Details

Contact Details

Request Received
Affiliate Members
This is a Lifetime membership
This membership includes Unlimited member slot(s)

PCA affiliate member organizations

Glue Up account creation information.

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Please enter a first name
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Please enter a last name
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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Password may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your individual information.

Please fill in the below form with your company details.

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Please enter a company name

Please enter a valid phone number including country code
If you input more than 0 characters your Phone may not display properly

If you input more than 0 characters your Address may not display properly

If you input more than 0 characters your City may not display properly

If you input more than 0 characters your State/Province may not display properly

If you input more than 0 characters your Postal Code/Zip Code may not display properly

Please enter a valid url
e.g. https://app.glueup.com
If you input more than 0 characters your Website may not display properly

Please enter a valid phone number including country code
If you input more than 0 characters your Fax may not display properly

If you input more than 0 characters your When does your current collective agreement expire? may not display properly
Organizational Contacts

PCA engages with various individuals from contractor member organizations. 


Please provide the contact for each individual in your organization responsible for each of the sections below.

Main contact

Please provide all contact information for the main contact (preferably President or CEO) at your organization.

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If you input more than 0 characters your Main contact cell # may not display properly

If you input more than 0 characters your Main contact e-mail may not display properly
Government Relations Contact

Please provide all contact information for the Government Relations contact at your organization.

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If you input more than 0 characters your Government Relations Phone (cell) may not display properly

If you input more than 0 characters your Government Relations E-mail may not display properly
Labour Relations / Human Resources Contact

Please provide all contact information for the Labour Relations contact at your organization.

If you input more than 0 characters your Labour Relations Contact may not display properly

If you input more than 0 characters your LR Contact E-mail may not display properly

If you input more than 0 characters your Labour Relations Phone Number may not display properly
Accounts Payable / Receivable Contact

Please provide all contact information for the Accounts Payable/Receivable contact at your organization.

If you input more than 0 characters your Accounts Payable/Receivable Contact may not display properly

If you input more than 0 characters your Accounting Phone Number may not display properly

If you input more than 0 characters your Accounting E-mail may not display properly
PCA Communications

PCA communicates important regulatory information, event invites, and important industry news with members.


In order to be added to PCA's e-mail list, explicit permission must be provided. 


We strongly suggest that you sign up all contacts at your organization for e-mail updates. 

Consent

This checkbox is mandatory
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