Associate Member: Buying Group - Application for Membership

Any person being a Canadian Corporation or Subsidiary shall be eligible to be an Associate Member (non-voting) Buying Group provided a significant portion of their membership represents CIPH Wholesalers and Specialty Wholesalers. The company must have been in business based in Canada for a reasonable period of time as determined by the Board.

The undersigned hereby applies for membership in the Canadian Institute of Plumbing & Heating and, if accepted, agrees to comply with all the provisions of the By-Laws of the Institute. The undersigned agrees to pay annual dues in accordance with the schedule approved by the Board of Directors of the Institute

Fields marked with an * are required.

Application for Membership
Please calculate annual membership dues based on last year's Canadian sales. Return your application to CIPH with dues payment. Dues payments will not be processed until your application has been approved. Dues are payable each May 1st. The Institute’s fiscal year is May 1st to April 30th. The CIPH Board of Directors will review your application at the next Board Meeting.

Name of Buying Group *

Address Line 1 *

City *

Province *

Postal Code *

Phone *

Fax

Email *

Website

Applicant Name *

Position *

Signature *

How many members does your Buying Group presently have? *

How many Wholesaler and Specialty Wholesalers in your Buying Group are presently members of CIPH? *

Does the Buying Group install any of the products it sells? *

Does the Buying Group sell products to the consumer?

How many employees does the Buying Group have in Canada *

Date Buying Group established? *

Year:

Is it registered or incorporated in Canada *

Yes

Federally

Provincially

Is the Buying Group affiliated with any other Canadian company *

Please give the name of the other company from the previous question and explain the relationship *

Put N/A if 'no' was selected in the previous question

Is the Buying Group affiliated with any other non-Canadian company *

Please give the name of the other company from the previous question and explain the relationship *

Put N/A if 'no' was selected in the previous question

Canada's Anti-Spam Legislation fulfillment: Yes, I agree to receive e-communications from CIPH

List key employees of the Buying Group

Name	Title	Location	Email

To assist the CIPH Membership committee with their recommendation *

Please indicate top three reasons why you want to become a member of the institute

2024/2025 Dues Calculation Form
The following dues schedule has been approved by the Board of Directors of CIPH. Please calculate annual membership dues based on last year's Canadian sales. Effective May 1, 2024 for the CIPH fiscal year May 1, 2024 to April 30, 2025. Dues are payable May 1 or with your application for CIPH Membership.

Basic Dues (Canadian Annual Including subsidiaries) *

Please select appropriate option.

Annual dues / Subtotal (Basic dues plus additional dues) *

TOTAL DUES (Annual dues / Subtotal + GST) *

Signing Officer *

Title *

Signature *

Please fill out full name

Associate Member: Buying Group - Application for Membership

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