Developer / Builder Application Form

Developer / Builder Application Form
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Main Email*
info@example.com
Company Website*
Company Principal*

First NameLast Name
Company Principal Title*
Company Principal Email*
Additional Contact Person

First NameLast Name
Additional Contact Person Title
Additional Contact Email
Number of years the business has been in the industry*
What type of product/service do you provide?*

CommercialResidentialInstitutional
Which modular industry players are you presently doing business with?*
Company History
Brief description of company in 50 words or less (which may from time to time be used in Association publications):
Association Reference (if applicable):
Company Name
Contact Name

First NameLast Name
Phone Number
Email
example@example.com
FEES

The current year’s membership fee is $450.00. Payment is to accompany this application. Membership is based on the calendar year.

**A membership applies to one location only. Multiply Locations require individual memberships

Developer Builder Membership Definition
- Shall own or have an option on a piece of land to be developed for the installation of modular and or manufactured homes
- Shall provide a letter of intent to develop, and a copy of the proposed development plan
- Demonstrate intent to have a minimum of 15 sites for sale
- Shall abide by the Bylaws, Code of Ethics and Rules and Regulations of the Association
- Shall be encouraged to participate in Association programs and surveys as required
- Have read the Rules and Regulations outlining description of each membership category and agree our Association qualifies for membership under our current category.
- Have read the Bylaws, Code of Ethics and agree to abide by the same.
The Association reserves the right to seek additional information necessary to approve member.

The Board of Directors of the Association has the right to refuse this application or request additional information. Should this application be refused, the membership fees shall be returned to the applicant without interest applied.

Payment *

Developer/BuilderMembership - January to December Each Year

$450.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

GST Registration # R 10766 2504 RT0001
PUBLICATION

In submitting this application, you affirm that the company information is accurate, and you consent to its use for such purposes as promotion of membership, government liaising, public education, new products and services, intent information, and networking at all levels, Local, Provincial and National. Further, you acknoledge that approval of membership is subject to the Memerbship Definiftion and approval by the Association.
Signature of Applicant

Clear
Name of Applicant

First NameLast Name
Thank You for Your Continued Support to the Association!
Should be Empty:

Developer / Builder Application Form

Company History

Association Reference (if applicable):