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Supplier Membership Application

Message de votre présidente pour les fêtes

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Supplier Membership Application

TO THE BOARD OF DIRECTORS
Date:

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

MEMBERSHIP CATEGORIES & FEES
Category Criteria Annual Dues Select
Dealer Company Engaged in the sale of goods purchased through distributors or manufacturers $550.00
Supplier Company Intended for wholesale manufacturers and distributors $1,200.00
Branch Office(s) Same named company operating in another region $200.00 per branch

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

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)

Types of Operation

(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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