Become An ATAP Member

Employees can fill out the form below
to apply for an ATAP Membership.

Once you submit the form, a member of our team will be in touch to follow up and discuss your next steps.

Name *

Affirmed Member's Business Name *

Preferred Mailing Address *

City *

Province *

Postal Code *

Phone *

Email Address *

Does Your Employer Consent to your membership application?

Type of Membership *

NOTE: Only Employees of Affirmed Members are eligible for this category.

DECLARATION *

By typing in my full name here, I hereby acknowledge that the information I have provided is accurate and true, and I understand that my application could be declined or membership revoked if found to be otherwise. I further acknowledge that by submitting this form I am providing express consent for the purposes of e-mail communications regarding the association.

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