Membership

To become a member:

Please send your check payable to Accom Inc. to the following address:

Accom Inc.
226 Hyman Blvd.
D.D.O, Quebec, Canada
H9B 1L8

	Fields with a star beside them are required for proper handling of your application.
Member
	*Title (Mr., Mrs., Dr., etc.)
	*First Name
	*Last Name
	Job Title
	*E-Mail
	Direct Telephone Number
Company
	Company Name
	Business Sector
	General Business Description
	Business Category
	Main Telephone Number
	Website
	Company Email Address
	Address (1)
	Address (2)
	City
	State / Province
	Country
	Zip / Postal Code
Additional
	How would you like to be contacted?	Phone Email
	How did you hear about us?
	Comments / Suggestions / Questions

	The information that you provide in the above form will be used to respond to your request. Please keep in mind that an error in your email address will prevent us from replying via email.