New Membership Application

Name of Organization *
Mailing Address Line 1 *
Mailing Address Line 2
Mailing City *
Mailing Province *
Mailing Postal Code *
Is this a business address? * Yes No
Camp Address Line 1
Camp Address Line 2
Camp City
Camp Province
Camp Postal Code
Office Phone *
Camp Phone
Fax
Email *
Website http:// 
Region *

Primary Contact Information:
First Name *
Last Name *
Email *
Position *
Is the Primary Contact a Year-Round
Camp Employee? *
Yes No

Voting Representative Information:
First Name *
Last Name *
Email *

Umbrella Organization Name
Umbrella Organization Website
Camp Kindred * Other:
Organizational Affiliation * Other:
How did you learn of the ACA? * Other:
Reason for joining the ACA? Other:
Description and Mission
Program Information and Activities Offered

Camp Membership*
Please select revenue category:
  • Camp - Additional Site Camp has an additional site for programs - $ 270.00
  • CAT 1 Less than $100,000. - $ 270.00
  • CAT 2 $100,000 - $250,000 - $ 400.00
  • CAT 3 $250,001 - $500,000 - $ 532.00
  • CAT 4 $500,001 - $750,000 - $ 663.00
  • CAT 5 $750,000 - $1,000,000 - $ 795.00
  • CAT 6 More than $1,000,000 - $ 925.00
  • CAT 8 Commercial - $ 120.00
  • CAT 9 Associate Membership - $ 120.00
  • CAT 10 Individual Membership - $ 40.00
  • CAT 11 Student Membership - $ 20.00

Dues are renewed annually. They cannot be refunded or transferred to another individual or to next year's services. Our Membership Year runs from January to December. For tax purposes, ACA dues may be deductible as a business expense, but are not deductible as a charitable donation.


What goods and/or services
does your business provide?

Method of Payment * Please select one (1) method of payment:
Payment by Credit Card
Payment by Cheque

(* denotes required fields)