Membership Registeration - Welcome to LEAD Initiative

Be a part of the Lead Initative Community

Membership Registration

First Name *

Last Name *

Email Address *

Phone Number

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country *

Date of Birth *

Are you interested in volunteering?

Marketing AcknowledgementYes, I opt in to receiving communications from Lead Initiatives

Terms and Conditions

By endorsing this form you are forthright a General Member (1 year re-newable term) of the Lead Iniative and are therefore entitled to all of the membership privileges of General Membership including but not limited to:

Receiving a membership online profile
Receiving a quarterly newsletter
Receiving any Lead Initiative surveys regarding (needs of the community, advocacy, events, news and follow-ups)
Receive invites to any town hall discussions

By endorsing this form you agree to:

The mission of the Lead Initiative
The core values of the Lead Initiative
Allow the Lead Initiative to add you to the number count of persons it represents
Entrust the Lead Initiative with basic information such as your email, province

I accept the Terms and Conditions.

Be a part of the Lead Initative Community

Membership Registration

Contact

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Be a part of the Lead Initative Community

Membership Registration

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Thank you!