Membership Registration Form

To register please provide us with your contact information by completing the form below.  Data fields identified with an asterisk need to be filled before your registration can be accepted.
There are no membership fees at this time.

Title Prefix	(Ms., Mr., Dr., etc.)
First Name*
Last Name*
Occupation Title*
Organization Name*
Mailing Address*
Address (cont.)
City/Town*
Province/State*
Postal/Zip Code*
Country*
Business Phone*
Cell/Alternate Phone
FAX
E-mail*
Alternate E-mail

How did you find out about the Encompass Canada membership?

Newsletter Article
Web Site Information
Referral by member
Other

If referral, enter name of member:

We would like to know more about our members so that we can continue to improve our benefits and services. The registration form continues with additional data fields for member profile information. Please continue to complete the rest of the form if you would like to provide us with additional information about yourself. 

How many years have you been working in the IT or related industry?
How many years have you been working with HP/Compaq/Digital products?
What technology platform(s) are you working with in your organization?
Do you influence platform related purchasing decisions for your organization?
If yes, do you influence platform related purchasing decisions exceeding $100,000?
Do you influence other industry related purchasing decisions for your organization?
If yes, do you influence purchasing decisions exceeding $50,000?
If yes, what kind of products and/or services do your purchasing decisions include?
What information on other industry topics do you want the Association to also provide?
What membership benefit do you expect to be of greatest value to you?
What would you like to see as an exclusive benefit provided by the Association?
What is the highest fee you are will to pay for an Association sponsored seminar or symposium?
Would you support a membership fee if the benefits and value offerings justify it?
What are your preferred methods of communicating with other members?
What is your preferred method of receiving information from the Association?
Do you want to receive our E-newsletter, which is published every 2 weeks?
How can the Association provide greater value for your membership?

Please note that the personally identifiable contact information you have entered for your membership registration will only be used by Encompass Canada to communicate with you. The demographic data and information collected will only be used in summarized form for statistical and marketing purposes so that individual privacy is always protected. The association will never sell, share, or divulge your personal information to any other individual or organization including HP, HP partners and sponsors. 

Please go to Membership Policy to review the Association’s Membership Privacy Policy.

   Please check box if you have reviewed and agreed to the Membership Privacy Policy. 

Click 'Submit Form' to register your membership. Thank you for taking your time to complete this form.