Team Cornwall
Team Cornwall Application Form

Use this form to apply for your Team Cornwall membership. In order to process your application promptly, we will require the following:

  1. a completed application form
  2. a cheque payable to Team Cornwall

Please fill out all applicable fields. (* = required)

Are you a New Member?*
Your Name:*
Company:
Address:
City:
Province:         Postal Code:
Phone:
Facsimile:
Email:*
Web Site:
Yes, I would like to join Team Cornwall at a cost of $295 which includes:
  • a Team Cornwall photo
  • 100 printed Team Cornwall cards
  • a Team Cornwall e-Card.
    • Step 1: Book a Date for the Photo
      I am available for a photo on:
    Step 2: Write-Up for the Team Cornwall Cards
      Please provide a SHORT write-up for the back of your Team Cornwall cards:
    (You are limited to one or two short sentences due to space limitations. The following are some examples for you to consider. You can copy and paste to the window below, then edit to suit)
    Example 1
    Bob Guinness is a well known member of Cornwall's business community, with over twenty years of marketing experience. He is currently promoting Guiness Recipes, a convenient and comprehensive recipe book for consumers.    		 Example 2
    Guinness Financial Services offers quality financial advice and services to area residents. As the President, Sue is committed to the people she serves, and believes strongly in Cornwall's future.    		 Example 3
    Miriam Guinness is a proud member of Team Cornwall. Miriam is the owner and operator of Guinness Relocation Consultants.

    Step 3: Write-Up for the Team Cornwall E-Card
      Use this write-up for my e-Card (web profile page):
    (Use up to 250 words to describe yourself and your company.)

    I am e-mailing my company logo.   Click here to email now.
    I will mail/drop off a copy of my company logo.

      Security Code:
    Enter Security Code:*
     
    ** An annual fee of $50 will be charged to maintain your e-Card **


    Team Cornwall