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WCMRC Membership Portal
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Agreement Search
Membership Renewal and Sign Up
Complete the form below to start or renew your membership agreement.
Once you submit your details, WCMRC will generate your agreement and send it to you electronically via DocuSign for review and signature.
Title
*
*
This field is used only during form development. It will be removed when moved to production status
New or Renewal
New
Renewal
WCMRC Agreement Number
*
Agreement Type
*
OHF
Bulk Oil
Non-Bulk Oil
Subscriber
Juan de Fuca
WCMRC has five agreement types. If you're unsure which to use please contact us.
Company
*
*
GST Exempt?
No
Yes
Payment Type
-
Wire Transfer
Credit Card
Cheque
Agreement Start Date
*
*
Address1
*
*
Address2
*
City
*
*
Province (or State)
*
*
Postal Code / Zip Code
*
*
Primary Contact
*
*
Email
*
*
Phone
*
*
Secondary Contact
*
*
We prefer to have at least two contacts listed for the agreement.
Email
*
Phone
*
Facility/Location 1
*
Add the name and address of the facility here
Facility/Location 2
*
Add the name and address of the facility here
Facility/Location 3
*
Add the name and address of the facility here
Facility/Location 4
*
Add the name and address of the facility here
Vessel 1
*
What is the name of the vessel?
Registration 1
*
Enter the registration ID of the vessel
Vessel 2
*
What is the name of the vessel?
Registration 2
*
Enter the registration ID of the vessel
Vessel 3
*
What is the name of the vessel?
Registration 3
*
Enter the registration ID of the vessel
Vessel 4
*
What is the name of the vessel?
Registration 4
*
Enter the registration ID of the vessel
Separate Billing Address
-
No
Yes
Billing Address 1
*
Billing Address 2
*
Billing City
*
Billing Province
*
Billing Zip
*
Billing Email
*
Agreement is void if payment is not received by WCMRC. Acknowledge by typing name
*
*
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