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Professional Membership Application

Professional Membership Application

TO THE BOARD OF DIRECTORS
Date:

We hereby apply for Professional Membership in the Terrazzo, Tile and Marble Association of Canada (TTMAC).

MEMBERSHIP CATEGORIES & FEES
Category Criteria Annual Dues Select
Consultant Firm Professional firms such as architects, interior designers, engineers, consultants, specifiers, testing services etc. $450.00
Individual Consultant A consultant working on their own, or singularly within a larger firm. $250.00
Branch Office(s) Same named company operating in another region $200.00 per branch

Initiation Fee (one time, non-refundable): $250 per membership unit (including branches)

Fees are due January 1st of each year.

Memberships not paid by March 1st may be subject to termination.

COMPANY INFORMATION
Legal Company Name
Operating/Trade Name
Address
City/Town
Province
Postal Code
Tel
WebSite
Year Established
Principals / Owner

Regions of Work


(List all Canadian regions where work is actively performed)

We are engaged in this industry as

(Check all that apply)

Company Key Contacts

Primary Contact(required)
Name
Title
Phone
Email

Billing / Accounting Contact
Name
Phone
Email

Marketing / Communications Contact (optional)
Name
Phone
Email

Additional Contacts (optional)
Name / Role / Email

BRANCH OFFICES (If Applicable)
Branch Name / Region Branch Address Primary Branch Contact Email / Phone

Referral Source

How did you hear about TTMAC?
- Name:
:

COMMITTEE PARTICIPATION (Optional)

DIRECTORY LISTING & EMAIL CONSENT

FEE SUMMARY

Primary Membership Fee:

$

Branch Membership Fee:
($200 x number of branches):

$
Initiation Fees
($250 x total units = main membership + branches):

$
Total Fee:
Tax:
Total Amount Due:
0.00

PAYMENT METHOD

(Note: All information received will be reviewed by the membership.)

DECLARATION
Please agree to abide by the TTMAC By-Laws and Code of Ethics.

Name:

Title:

Date:

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