Please complete the form below. Our team will evaluate your application and contact you as soon as possible to gather further information about your organization. Thank you for submitting your application! Cliquez ici pour compléter ce questionnaire en français Organization Organization Name (start typing to select an organization) Full name of the organization (if different from above or if not found) This is your co-operative, credit union or mutual’s complete and legal name. Head office Please tell us the physical (street) address of your main or head office. Street Address * Street Address Line 2 City * Postal Code * Format: X7X [space] 7X7. Province * - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Country * Email (generic address) * Example: info@company.coop Website or social media page Co-op sector For a description of Co-op Types and Co-op Sectors, please click here (PDF). Co-op Sector - Primary - None -Accommodation, short-term (721)Administrative and Support (56)Agriculture (11)Arts, Entertainment and Recreation (71)Child Care (624)Education and Training (61)Energy and Utilities (221)Financial and insurance (52)Food and Beverage Manufacturing (311/312)Forestry, Fishing and Hunting (113/114)Funeral (812)Health and Wellness (62)Housing (531)Information, Data and Cultural Industries (51)Management and Economic Development Consulting (5416)Manufacturing and Construction (23/31/32/33)Mining, Oil & Gas Extraction (21)Other (81)Professional Services (54)Rental and Leasing (532)Restaurant and Food Services (722)Retail Sales (44/45)Social Services (62)Telecommunication & Internet (517)Transportation and Storage (48/49)Wholesale (41) Explanations and examples can be found by clicking on the link above. Contact person First Name * Last Name * Job Title * Examples: CEO, Office Manager, Administrator, Executive Director, Marketing Manager Email Address * Phone Number Format ###-###-#### Phone Extension Save