ED Unplugged Peer Community - Registration Form
Primary Contact
Primary Contact Info should be your contact info as the individual joining the group
First Name
Last Name
Email
Role Title
ED Unplugged is open to non-profit
Executive Directors, CEOs, Artistic Directors, General Managers, and other non-profit senior staff members. By checking this box you confirm that you are joining from a current leadership position in a non-profit.
I confirm
Organization Information
Organization Name
(Our system has a character limit. Please use a shortened version of your organization name if needed. We can always adjust it for you after if a change is required. If you are an individual joining, please re-enter your full name. Thank you!)
Organization Email
Please add the email address for general inquiries to your organization. If you are an individual joining, please re-enter your email.
Street
City
Province/Territory
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territories
Other
Non-Profit Sub-Sector
Please select...
Arts and Culture
Animal Welfare
Business, Professional Associations, and Unions
Economic and/or Community Development
Education, Research & Skill Building Services
Environment
Health
Housing
Law, Advocacy, Politics and International Activities
Philanthropic Intermediaries and Voluntarism promotion
Professional, Accounting and Administrative services
Religion
Social Services
Sports, Recreation, and Social Clubs
Other not elsewhere classified
Unsure/Prefer not to answer
Not applicable
Region
Please select...
BC Interior
Fraser Valley: outside Metro-Vancouver
Kootenays
Metro-Vancouver
Northern BC
Vancouver Island and Coastal Region including Sunshine Coast, Central Coast and Howe Sound
All of BC
Outside of BC
All of Canada
Other/Not Applicable
What region does your organization’s mandate primarily cover?
Does your organization primarily serve rural and/or remote communities?
Yes
Rural is defined as a community with a population size of 29,999 or fewer; Remote is defined as a community or geographic location with a population of less than 5,000 and at least 100 km from a city of > 29,000 or a geographic location without year-round road access.
What is your organization's Operating Budget?
Please provide annual budget to nearest $100,000.
Billing Information
Any invoices or billing information we send to your organization will say "[Organization Name] Accounts Payable" as the billing contact and be sent to the email address you provide.
Last Name
Please ONLY write "Accounts Payable" as the Billing Last Name.
Billing (Accounts Payable) Email
What email should we send invoices to? If not sure, or not relevant, please enter your organization's main email address
Other Contact Info
LinkedIn
Facebook
Twitter
Thank You!
When you submit this form, you should soon receive a confirmation email with a link to the calendar invite and other relevant information. Please reach out to us at
engagement@thevantagepoint.ca
if you have any questions or do not receive the calendar invites.
We look forward to connecting with you soon!
Contact Information