Junior Affiliate Membership Application Form

Personal Information

Name

First name

Last name

Company name

Position/title

Address

Street address

Suite

City

Province/state

Postal/zip code

Country

Email

Website

Phone

Current Employer

Applicants need not be currently employed to be eligible for Junior Affiliate Membership.

Company name

Position/title

Street address

Suite

City

Province/state

Postal/zip code

Country

Email

Website

Phone

Mailings

I would prefer to receive electronic mailings, where appropriate.

Experience

How many years have you been working in the field of design? (Only those with 4 or less years of professional work experience are eligible to be Junior Affiliate Members.)

i.e. number of years and months

Verification

See the Association’s privacy policy statement at www.rgd.ca/about/policies.

I certify the above statements to be complete, true, and accurate.

I agree to abide by the Bylaws of the Association of Registered Graphic Designers including the Code of Ethics.

I understand that I may specify to the Association and have control over how my personal information may or may not be used.

I agree to be subscribed to RGD Word and other RGD email communications, recognizing that I have the option to unsubscribe at any time.

Payment

The annual fee for the Affiliate membership is $50 + HST = $56.50 based on a 12 month membership. You will be prompted to make payment upon submission of this form.

Next Steps

Applications are reviewed to ensure information is accurate and treated as confidential and will not be disclosed to any person who is not a part of the review process.

Questions?

Contact: Zaria Pucknell
Email: zaria@rgd.ca

Phone: 1.888.274.3668 x 0022