NEW MEMBER APPLICATION

Please fill out the application and click submit to send the form to the QHBA via email.

BASIC INFORMATION

COMPANY INFORMATION:
 
Company Name:
 
Address:
  City:
 
Postal Code:
    
 
Telephone:
Fax:
 
Principals:

MEMBER INFORMATION: If different than company information above:
 
Member Name:
 
Address:
  City:
 
Postal Code:
    
 
Telephone:
Fax:

SPONSOR INFORMATION:
 
Name:
 
Company:

ABOUT YOUR BUSINESS

TYPE OF BUSINESS:
 
Category that best describes your business:
 
If Other, please describe:

YEARS IN BUSINESS:
 
Quinte Area:
    
 
Outside Quinte:

IF PREVIOUSLY OUTSIDE QUINTE:
 
Company Name:
 
Address:
  City:
 
Postal Code:
    
 
Telephone:
Fax:

Relationship to Current Business?:

Member of the Builder's Association?: Yes No

Previous Builder's Association?:

SUPPLIER/SUB TRADES

 
Name:
 
Address:
  City:
 
Telephone:
 
Contact:

 
Name:
 
Address:
  City:
 
Telephone:
 
Contact:

 
Name:
 
Address:
  City:
 
Telephone:
 
Contact:

IF BUILDER

 
Ontario Home Owner Warrenty #:
 
Number of Units Built:
  Number of Units Completed:

CREDIT INFORMATION

 
Bank Name:
 
Address:
  City:
 
Telephone:
 
Contact:


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 $690.00
GST# R104372925 $48.30
TOTAL $738.30

which is the membership fee in full for the year ending October 31 (current year), will be mailed or dropped off to the Quinte Home Builders' Association and will be returned if I/We are not elected into the membership of the Association.

Applicant's Name:
Title:
Date: (dd/mm/yyyy)


Your application will be sent to us via e-email