Membership

Business Activity
- Retail Location
- Distributor
- Manufacturer
Primary Contact
Company Name*
First Name*
Last Name*
Primary Email Address*
Phone*
Address*
Street Address Address Line 2 City Province Postal Code
Secondary Contact
First Name*
Last Name*
Email Address*
Phone*

VITA Membership Agreement

Principle Terms
- The agreement starts as soon as your party has signed
- Membership starts on the Membership start date
- Membership can be cancelled at any time by calling, or e-mailing Executive Coordinator
- Members are entitled to all rights and privileges offered by VITA
- This agreement is non-transferable
Fees and Charges (Direct Debit) The fee relates exclusively to the membership of VITA
1. All payment for membership is due upon signing of membership agreement
2. Payments will be automatically debited from the account you sign up under
3. If you fail to pay the amount due under this agreement for a period of more than 30 days, you may have your membership revoked until the amount is paid in full
4. You agree to advise us promptly of any change to the member details provided
5. Membership payments are non-refundable
6. A member whose membership is terminated shall forfeit all the privileges of membership with immediate effect, there will be no entitlement to refund of any monthly membership charges already paid.
7. For the avoidance of any doubt, any member who cancels membership in good standing and chooses to re-join can do so without payment penalty.
Please familiarize yourself with the bylaws of VITA which can be found here.

By joining the Association, you agree that your membership is subject to the bylaws and any codes of conduct or other policies established thereunder.
Is your company owned in whole or in any part by a tobacco company or a subsidiary of a tobacco company?
- Yes
- No
Signature*
By signing my name below I agree to the above terms and conditions.
Signed On This Date:*
MM slash DD slash YYYY

Membership Fees

Distro / Manufacturer:

1-3 Employees$150

4-8 Employees$275

9-15 Employees$375

16 or more$500

Retail Locations:

1 Store$80

2 Stores$140

3 Stores$200

4 or more$250
Business Type*
- Retail Store
- Distro / Manufacturer
Choose Membership
Total Monthly Fee
$ 0.00 CAD
Username*
Set Membership Password*
Enter Password Confirm Password

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I agree to the Terms & Conditions
Credit Card*
Card Details
Cardholder Name
Name
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Membership Benefits

Primary Contact

Secondary Contact

VITA Membership Agreement

Membership Fees