Become a Grower Member Become a grower member Last name Name Company name Address City Province ProvincePrince Edward IslandAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioQuebecSaskatchewanYukon Postal code Home phone Cell phone Email Address Gross sales Gross sales$0 - $99,999$100,000 - $249,999$250,000 - $499,999$500,000 - $749,999$750,000 - $999,999$1,000,000 - $1,249,999$1,250,000 - $1,499,999$1,500,000 - $1,749,999$1,750,000 - $1,999,999$2,000,000 - $2,249,999$2,250,000 - $2,499,999$2,500,000 - $2,749,999$2,750,000 - $2,999,999$3,000,000 - $3,249,999$3,250,000 - $3,499,999$3,500,000 - $3,749,999$3,750,000 - $3,999,999$4,000,000 - $4,249,999$4,250,000 - $4,499,999$4,500,000 - $4,749,999$4,750,000 - $4,999,999$5,000,000 - $5,249,999$5,250,000 - $5,499,999$5,500,000 - $5,749,999$5,750,000 - $5,999,999$6,000,000 - $6,249,999$6,250,000 - $6,499,999$6,500,000 - $6,749,999$6,750,000 - $6,999,999$7,000,000 - $7,249,999$7,250,000 - $7,499,999 Your Fee: $250 + HST Your Fee: $400 + HST Your Fee: $900 + HST Your Fee: $1400 + HST Your Fee: $1900 + HST Your Fee: $2400 + HST Your Fee: $2900 + HST Your Fee: $3400 + HST Your Fee: $3900 + HST Your Fee: $4400 + HST Your Fee: $4900 + HST Your Fee: $5400 + HST Your Fee: $5900 + HST Your Fee: $6400 + HST Your Fee: $6900 + HST Your Fee: $7400 + HST Your Fee: $7900 + HST Your Fee: $8400 + HST Your Fee: $8900 + HST Your Fee: $9400 + HST Your Fee: $9900 + HST Your Fee: $10400 + HST Your Fee: $10900 + HST Your Fee: $11400 + HST Your Fee: $11900 + HST Your Fee: $12400 + HST Your Fee: $12900 + HST Your Fee: $13400 + HST Your Fee: $13900 + HST Your Fee: $14400 + HST Your Fee: $14900 + HST Payment Method (please check one)* Payment Method (please check one)* Interac e-transfer Invoice Credit card Call the office for assistance. Call the office for assistance. If you are paying by credit card please call us to make your payment: (902) 368-2757 Would you like to be added to PEI Aquaculture Alliance mailing and email distribution lists to receive industry news and updates? (please check one)* Would you like to be added to PEI Aquaculture Alliance mailing and email distribution lists to receive industry news and updates? (please check one)* Yes No Please enter any other emails you would like to receive the newsletter (Optional) What is your most preferred method of communication? What is your most preferred method of communication? Email Mail Phone The PEIAA is an umbrella organization representing the PEI Cultured Mussel Growers Association, the Island Oyster Growers Group, and the PEI Finfish Association. Growers joining the Alliance belong to one or more of these Provincial Sector Associations (PSA). Which PSA do you with to be a member of (choose one): The PEIAA is an umbrella organization representing the PEI Cultured Mussel Growers Association, the Island Oyster Growers Group, and the PEI Finfish Association. Growers joining the Alliance belong to one or more of these Provincial Sector Associations (PSA). Which PSA do you with to be a member of (choose one): PEI Cultured Mussel Growers Association Island Oyster Growers Group PEI Finfish Association Do you operate in more than one sector of the aquaculture industry and are interested in becoming a member of more than one PSA? Do you operate in more than one sector of the aquaculture industry and are interested in becoming a member of more than one PSA? Yes No Are you also a licensed processor? Are you also a licensed processor? Yes No * * I authorize the verification of the information provided on this form. I acknowledge that my electronic signature on this document is legally equivalent to my handwritten signature. * Submit