membership application form -...
TRANSCRIPT
#208 9715 Main Street, Fort McMurray, Alberta T9H 1T5 Telephone: 780‐791‐9288 Fax: 1‐888‐515‐7266 Email: [email protected] Website: www.fmca.net
Company Profile
Company Name:
Owner:
Mailing Address:
City: Province: Postal Code:
Telephone: Facsimile:
Website: Unionized: Yes No
Billing Address:
Business Type: General Contractor Trade Contractor Manufacturer Supplier Other
Fee Structure: Full Member Corporate Member Associate Member **Memberships run from January 1
st to December 31
st of each year and are not pro‐rated**
Primary Contact
Contact: Position:
Address:
City: Province: Postal Code:
Telephone: Facsimile: Cell:
Email Address:
This acknowledges that to qualify for RED Link we must hold a current valid membership, have a fixed office or distribution point located in the RMWB & a RMWB business license. *Provide our office with a copy of your RMWB business license and a copy of a bill that shows the company name and local address (i.e. utility bill]). Fax to: 1‐888‐515‐7266 or by e‐mail to: [email protected] We want to keep you up‐to‐date with business updates, industry news, event/seminar invitations, RED Link Work Opportunities and other relevant information. In order to receive information from us, by signing and submitting this application for membership you are implying consent to receive e‐mails. *Read our Email Policy This confirms I have read the E‐mail Policy and Consent to Receiving E‐mails. *You can unsubscribe at any time by contacting our office.*
Upon receipt of the application for membership and payment of the fees for that year, the applicant shall be extended the privileges of membership.
Application Date: Applicants Signature:
Payment Information
Method of Payment: Visa MasterCard American Express Debit Please Invoice Me
Credit Card #:
Expiry Date: Cardholder Name:
Signature:
Membership Application Form