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Home :: 12th Annual CHHMA Night at the Races : About the CHHMA : Affiliate Application

Affiliate Application


Qualification:
Firms, corporations or divisions of corporations that derive a significant portion of their income from the supply of goods or services to the hardware and housewares industry in Canada.

Please read this before continuing with the online application:

This application will not be processed until your cheque or credit card detail for $795.00 + applicable tax (see below) is received and processed by CHHMA.

For companies in British Columbia

12% HST:

$795.00 + $95.40 HST = $890.40

For companies in Ontario, New Brunswick,
Newfoundland & Labrador

13% HST:

$795.00 + $103.35 HST = $898.35
For companies in Nova Scotia

15% HST:

$795.00 + $119.25 HST = $914.25
For companies in the rest of Canada

5% GST:

$795.00 + $39.75 GST = $834.75

Cheques are to be sent to:

Canadian Hardware & Housewares Manufacturers Association
1335 Morningside Ave., Suite 101
Scarborough, Ontario M1B 5M4



Directories
Product Source Guide
Customers Directory
Members Directory
Suppliers Service Providers
Page 1.

1. We/I (name of company) do hereby make application for affiliate membership in the Canadian Hardware & Housewares Manufacturers Association, and agree to abide with the bylaws of the Association.
* required field

2. Description of products or services provided:
* required field

3. Number of Employees:

4. Which CHHMA members do you provide services for? (list up to three):
* required field

Company Information    

5. Full Company Name:
* required field

6. Address:
* required field

7. City:
* required field

8. Province:
* required field

9. Postal Code:
* required field

10. Phone:
* required field
(Answer must be a validly formed phone number e.g. (999) 555-1234 x12)

11. Fax:
* required field
(Answer must be a validly formed phone number e.g. (999) 555-1234 x12)

12. Company Email:
(Answer must be a validly formed email address)

13. Company Website:

Key Personnel:


14. President/CEO:
* required field

15. Email:
* required field
(Answer must be a validly formed email address)

16. Key Contact for Association Business:
* required field

17. Email:
* required field
(Answer must be a validly formed email address)

Payment Type:


18. Applications are not processed until dues are received. Please indicate payment option:
* required field
Cheque to Follow
Credit Card

Please provide contact information in order to obtain credit card details.

19. Full Name:

20. Phone Number:
(Answer must be a validly formed phone number e.g. (999) 555-1234 x12)