NEW MEMBER APPLICATION

SOME BASIC INFORMATION

 
Company Name:
 ______________________________________________
 
Address:
 ______________________________________________
    ______________________________________________
 
Postal Code:
 ___________________    
 
Telephone:
 ___________________
Fax:
 ______________________
 
Principals:
 ______________________________________________

MEMBER CONTACT: ______________________________________________

And if different than company information above:
    ______________________________________________
    ______________________________________________
 
Telephone:
 ___________________
Fax:
 _____________________
SPONSOR:
Name:
 ______________________________________________
 
Company:
 ______________________________________________

 

ABOUT YOUR BUSINESS

YEARS IN BUSINESS: Quinte Area: _________ Outside Quinte: _________
IF OUTSIDE QUINTE:
 
Company Name:
 ________________________________________________
 
Address:
 ________________________________________________
  ________________________________________________
 
Telephone:
 __________________
Fax:
 ______________________

Relationship to Current Business?: ___________________________________________

Member of the Builder's Association?: ______________________________________________

NATURE OF BUSINESS: Builder/Renovator   ________ Bldg/Materials   ________
  Carpet/Flooring   ________ Communications   ________
  Education   ________ Electrical   ________
  Equip/Rent/Supply   ________ Financial   ________
  Homecare Service   ________ Insulation   ________
  Interior Decorating   ________ Kitchen/Baths   ________
  Landscaping   ________ Legal Services   ________
  Plumb/Heat/Air   ________ Pools/Spas   ________
  Real Est/Develop   ________ Shelving/Storage   ________
  Vacuum Systems   ________ Utilities   ________
  Water   ________ Vinyl/Alum Prod.   ________
  Other   ________  

CREDIT INFORMATION:
BANK
Name:
 ________________________________________________
 
Address:
 ________________________________________________
    ________________________________________________
 
Contact:
 ____________________      Telephone: _____________________
     

SUPPLIER/SUB TRADES:

 
Name:
 ________________________________________________
 
Address:
 ________________________________________________
    ________________________________________________
 
Contact:
 ____________________      Telephone: _____________________
     
 
Name:
 ________________________________________________
 
Address:
 ________________________________________________
    ________________________________________________
 
Contact:
 ____________________      Telephone: _____________________
     

IF BUILDER:
 
Ontario Home Warranty #:
 ________________________________________
 
Numbers of Units Built:
 ________________________________________
 
Number of Units Compl'd:
 ________________________________________

I/We hereby make application to the Quinte Home Builders' Association, with all the rights and privileges pertaining thereto, and, if elected, agree to conform to the Constitution of the said Association and its Code of Ethics.

I/We understand the application procedures and state that all information on this application is accurate and true and authorize the association to undertake investigative procedures if deemed necessary.

A cheque in the amount of:
Membership $______________
GST#R104372925 $______________
TOTAL $______________

is attached to this application which is the membership fee in full for the year ending October 31 (current year) which will be returned to me if I/We are not elected into the membership of the Association.

SIGNED:     _______________    TITLE  ___________________     DATE  _________________