Membership Application


First Name: * Required
Last Name: * Required
Email Address:
Password: * Required
Confirm Password:
  
Address 1:
Address 2:
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State:
Zip Code:
  
Primary Phone:() -
Secondary Phone:() -
Fax:() -

Your Business Information
Name:
Website Address:
Contact Email Address:
Address 1:
Address 2:
City:
State:
Zip Code:
  
Primary Phone:() -
Secondary Phone:() -
Fax:() -
Logo / Photo:

NOTE: For best results, please resample images to 72 dpi / ppi before uploading

Hours of Operation:
Description:

Membership Level

$50.00 - Any business or nonprofit organization which markets a product, service or event. General members can select optional marketing programs to fit individual needs.

$100.00 - Any city, village, town, county or tax levying public entity.

$250.00 - Any membership organization serving and promoting businesses and local commerce. Cash or reciprocal marketing arrangement.

$1000.00 – $25,000.00 - Any member of CANAL NY committing to multi-year financial support and / or sponsorship.

$500.00 - Any Tourism Promotion Agency, Convention or Visitor Bureau. Annual investment varies with tourism co-op marketing program options.

$20.00 - Any individual with personal or professional interest in New York State Canals. (Educator / Student special rate, $10)


* Required

ERIE CANAL   .   CHAMPLAIN CANAL   .   OSWEGO CANAL   .   CAYUGA-SENECA CANAL

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