application – Toronto Coworking

Membership Application

We’re pleased to hear you’ll be joining us here at Verkspace.

Please complete the following application form so that our Membership Director has the correct information to draw up your Membership Agreement.

If you need any assistance with this form, don’t hesitate to call at 416-286-5749.

Agreement Holder
This section is for the details of the person who will be signing the membership agreement at Verkspace on behalf of themselves or a company.
Legal Company Name*
Full Name*
First Last
Contact Title*

i.e. CEO, Owner, etc.
Phone*
Email*
Enter Email Confirm Email
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Member Name
Please complete this section if the member using the space is different from the person that will be signing the agreement.
Legal Company Name of Member
Full Name
First Last
Phone
Email
Enter Email Confirm Email
Membership Details
Membership Location
Membership Type
Membership Term
Membership Term
Membership Term
Membership Start Date*
MM slash DD slash YYYY

Your first month membership fee will be pro-rated from this date to the last day of the month.