Wufoo

Membership Application

Fill out and submit the form below to become a member of the Canadian Virtual Assistant Network.

You have two options for your directory listing:

1) Basic listing included in your annual membership of $60.00 CDN - that's only $5 per month (payable annually
in Canadian funds).

2) An enhanced listing is an additional one-time payment of $25.00 (Contact information, list of services, a link to a separate page with your logo/or picture, description of your business, VA bio and your specialties.

Payment Information
You may pay for membership by credit card or by cheque.

If you have chosen to pay by credit card you will be notified by email when your payment has cleared and will be given access to the members area.

If you are paying by cheque you will find our mailing address at the bottom of this page. Please mail your cheque to this address and you will be notified by email when your payment has cleared and given access to CVAN benefits and the Members' area of this site.

Please complete all fields marked with an *

Name * First Last
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Email *
Web Site
ABOUT YOUR BUSINESS
How long have you been in business? * 0-6 months 6 months - 1 year 1 - 2 years 2 - 5 years 5 - 10 years 10+ years
Why would you like to become a CVAN member? *
Please identify all of the services that you offer: * Accounting/Bookkeeping Advertising Assistance Contact Management Customer Service Support Database Management Data Entry Desktop Publishing Editing Ezine Creation Graphic Design Internet Research Legal Assitance Live Phone Support Marketing Assistance Market Research Medical Transcriptions Meeting and Event Planning Organizational Consulting Presentation Creation and Formatting PR Assistance Process Identification & Documentation Project Assistance Proofreading Real Estate Support Resume Writing Shopping Cart Set Up & Maintenance Spreadsheet Specialty Transcription Services Travel Planning Wordprocessing Other (please specify below)
Other services offered
ENHANCED DIRECTORY LISTING

Upgrade to an enhanced directory listing for additional visability.
Get Noticed! Please sign me up for the Enhanced Directory Listing. I am aware an additional cost of $25.00 will be added to the $60.00 membership fee.
Please complete the following information for your enhanced listing:
Business Description

(max 150 words)
VA Bio

(max 150 words)
Speciality or Niche Market(s):

i.e., real estate, coaches, attorneys, solopreneurs, etc. (max 150 words)
Please check the below to signify that you have read and understood the conditions of membership (check all): * I agree to abide by the CVAN Membership Ethics. If it is found that I have not, my CVAN membership will be revoked immediately without refund. I understand that CVAN is a community solely provided as a networking resource and does NOT offer employment or guarantee clients to its members.
Please Indicate payment method: * Cheque PayPal (credit card)
If you wish to pay by credit card, please click on the "Buy Now" button on the next page. (You will be taken to this page when you submit this form.) If paying by cheque, indicate below and disregard the buttons on the following page.
If you have a promo code, please enter it here:
Payment by Cheque - Please make cheques payable to: "VISUAL PERSUASIONS CANADA" and mail to

CANADIAN VIRTUAL ASSISTANTS ASSOCIATION
40 - 62nd Street South
Wasaga Beach, ON L9Z 1V5
Do Not Fill This Out