Membership Application Form – Access Association of Canada

(please Mailing Primary

Company Name

Primary Contact Name

First

Last

Primary Contact Title

Primary Contact Email

Primary Contact Phone Number

Company Mailing Address (Include City, Province, Country, Postal Code)

Company Website

Year Established

Company Type

Name of Owners/ Partners/ Officers (please separate using commas)

Name(s) and email(s) of any additional contacts to add to AAC member communications.

Invoicing Contact Name (if different from Primary Contact )

First

Last

Invoicing Contact Email (if different from Primary Contact)

Company specializes in (please select all that apply):

Please select your membership type.

Manufacturers, Suppliers, Contractors, and Labour Unions (Voting) – $1,100.00 +HST
Professional Engineers, Consultants, and Affiliates (Voting) – $650.00 +HST

Certification

I hearby certify that I have read this application and apply for membership in the Access Association of Canada and, subject to acceptance in the Association, I promise to abide by the bylaws of the AAC, as amended from time to time, and understand that I will be entitled to all benefits and privileges of membership as specified in the bylaws of the Association.