2024 YFNCC MEMBERSHIP REGISTRATION FORM Membership Type* NEW MEMBERSHIP RENEWAL Changes for directory All prospective members of Yukon First Nation Chamber of Commerce (YFNCC) are required to complete this registration form. Indicate any changes.SECTION 1: MEMBER CONTACT INFORMATIONCompany* Contact* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Work Telephone*Mobile TelephoneWebsite Email SECTION 2: MEMBERSHIP TYPE AND PAYMENT DETAILS (Please select one)Select a membership type* Platinum Member Voting Member Non-Voting Member Platinum Member – First Nation Development Corporation Voting Member – A Yukon business that has >50% Indigenous ownership Non-Voting Member – All other businesses <50% Indigenous ownership & All Non Indigenous BusinessesPlatinum* Price: Yukon First Nation Development CorporationVoting Member*Select # of employeesNon Profit Association/Individuals2-4 Partners/Employees5-15 Employees16-30 Employees31-40 Employees41-50 Employees51+ EmployeesA Yukon business that has 50% plus 1% Aboriginal ownershipNon-Voting Member*Select # of employeesNon Profit Association/Individuals2-4 Partners/Employees5-15 Employees16-30 Employees31-40 Employees41-50 Employees51+ EmployeesAll other businesses (non- Government) OrganizationsGovernment*Select # of employees1-4 Partners/Employees5-15 Employees16-40 Employees41+ EmployeesFederal, Territorial, First Nation, Trusts, etc.Total $ 0.00 CAD SECTION 3: MEMBERS OPTIONSWould you like to receive YFNCC Membership Information* Yes No SECTION 4: ADDITIONAL INFORMATIONDoes your company have any association or joint venture with any local or local aboriginal companies in the Yukon Territory? If so please provide name(s) of the association or Joint-venture Company:*Please name service(s) that best describe your business and/or include a brochure or company letter outlining your business:*Signature*The undersigned is a duly authorized signing authority for the above entity, empowered to certify that the information provided is true and accurate.PRINT NAME* First Last Date* MM slash DD slash YYYY CAPTCHA Fillable Application Form Download YUKON FIRST NATION DEVELOPMENT CORPORATION PARTNERS
