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Membership Quote Form
Request A Quote for Membership
We would be honored to have you join our network of members. We love our members, and our members love the benefits we provide. Our membership packages are designed to aid you in safeguarding the vulnerable sector. Tell us about your organization and what membership package you are interested in and we will provide you a customized quote.
Today's Date
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MM
DD
YYYY
Name of Organization
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Who do you serve?
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Children
Teens
Elderly
Individuals with Physical / Cognitive Disabilities
New Immigrants
Individuals experiencing distress
Young adults
What type of organization best describes your organization?
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>
Private Sector Business
Charity
Not-for-profit
Entrepreneur
Public Sector (Government)
Professional Entity (Consultant, Legal, Insurance)
Is there a membership package that you are interested in?
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Basic Membership
Implementation Membership
Going the Distance
Professional Membership
Customized Membership
What is your annual revenue
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<$250,000
$250,000-$650,000
$650,000-$1,000,000
$1,000,000-$2,000,000
>$2,000,0000
Preferred Language
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English
French
Bilingual
Your Name
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First Name
Last Name
Your Title / Role at Organization
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Your Email
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Your Personal Phone Number
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Address of Organization
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Street Address
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Address Line 2
City
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Province / State / Region
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Postal Code / Zip
Antigua and Barbuda
Bahamas
Barbados
Belize
Canada
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Nicaragua
Panama
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Columbia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Côte d\'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
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Name of Director/Senior Pastor/Principal
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First Name
Last Name
Email of Director/Senior Pastor/Principal
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Best Phone Number to reach you at
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Organization Website
Are you affiliated with a denomination or association? If so which one?
What services would you like included in your membership package?
Customized Policies
Plan to Protect Manual
Customer Service (Email and Phone Support)
Policy Review and Update
Policy Audit
On-site Orientation & Refresher Training for Staff/Volunteers
Access to online training for staff and volunteers
Access to the Member Section of the Website
On-line Orientation/Refresher Training
Certification Course for Administrators
Certification for Crisis Response and Management
Certification Course for Trainers
Board Presentation
Discounted price on Criminal Record Checks
Who can we thank for referring you to Plan to Protect®?
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Consent
With Canada's anti-spam legislation we are required to obtain your consent to send you electronic communications. We do need express permission from each individual within an organization that we are communicating with.
You may unsubscribe or withdraw your consent at any time by contacting us at Plan to Protect®, 117 Ringwood Dr., Unit 11, Stouffville, ON L4A 8C1, or emailing us at info@plantoprotect.com.
Please confirm your consent to receive electronic communications from Plan to Protect® as described.
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Yes I give my consent for all e-Communications
Yes I give my consent for Monthly e-Newsletters only
No I do not give my consent
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