Associate Member: Services - Application for Membership

Any Person being a Canadian Corporation shall be eligible to become an Associate Member (Non-Voting) provided an important portion of their business revenue is derived from the supply of the industry services to the Canadian Plumbing and Heating industry. Such members shall not be directly engaged in the installation of or sales to consumers of Plumbing and Heating products. The company must have been in business for a reasonable period of time as determined by the Board.

Eligible services are:
• Industry Publications.
• Product Certification Services.
• Pricing Services.
• Data Service.

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.

Company Name *

Address Line 1 *

City *

Province *

Postal Code *

Phone *

Fax

Email *

Website

President of Company *

Applicant Name *

Position *

Signature *

Which of the following eligible services is the company supplying? *

Pricing Service

Industry Publication

Product Certification Service

Data Services

As part of your business does the company Install Products *

As part of your business does the company sell the products to the consumer *

How many people does the company employ in Canada? *

Date company established? *

Year:

How long has it been under the present ownership *

Years:

Is it registered or incorporated in Canada *

Yes

Federally

Provincially

Is the company affiliated with any other Canadian company *

Is the other company in the plumbing and heating industry *

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

How many employees does the company have in Canada *

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

List key employees of the company

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 all Eligible services that apply

Product Certification ($1,240)

Data Services ($1,240)

Pricing Service ($1,240)

Industry Publication ($1,240)

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: Services - Application for Membership

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