Membership for Lodge/Outfitter Members - Manitoba Lodges and Outfitters Association

Please enter information on the form below to process subscription for Lodge/Outfitter Members.

Username*

Password*

Retype Password *

First Name *

Last Name *

Business Name *

Address *

Address2

City *

Postal Code *

Country *

Province *

Phone

Email *

Member Profile Description

We require members to submit images for their member profile.

How Many Images Are You Uploading?

Nature Enhancement Fund Contribution *

$250 (Revenue less than $50,000)

$500 (Revenue between $50K – 100K)

$750 (Revenue between $100K – 250K)

$1000 (Revenue between $250K – 500K)

$2000 (Revenue greater than $500K)

Not required for First Time & Allied members

Other Amount

Comment

Price

Tax Amount

Total Amount

Payment Method *

Credit Card

E-transfer

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

New User? Please register