Manufacturer 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*

Other Location Address:

Number of years involved in industry

1. Do you provide a minimum 1 year manufacturers warranty?

2. Are you certified to produce A277 Modular or Z240 Standards?

3. Do you have CSA A277 and/or Alberta Label Code classification?

4. Do you have 3rd. party warranty on your homes? If so, please name of warranty company.

5. Do you agree to encourage all your Retailers in AB, SK and MB join the Association?

6. What is the size of your enclosed facility

7. What is your estimated production for this membership year

ALL MANUFACTURER MEMBERS MUST AGREE TO THE HOUSING ASSESSMENT FEE PER CERTIFICATION LABEL APPLIED. ALL MANUFACTURERS SHALL BE MANUFACTURING, MODULAR AND / OR MANUFACTURED HOMES

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.

Signature

Name

First NameLast Name

Brief description of company in 50 words or less (which may from time to time be used in Association publications):

Company Name

Contact Name

First NameLast Name

Phone Number

Email

example@example.com

FEES

The current year’s membership fee is $750.00. 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

Manufacturer:

Shall be licensed and bonded
Shall have an enclosed production facility with a minimum square footage of 10,000 sq .ft.
Shall be manufacturing modular and/or manufactured homes
Shall carry minimum of 1 year warranty on homes
Shall have third party warranty that complies with CMHC financing requirements
Shall have CSA A277, the Alberta Label Code Certification and/or meet the current Provincial Building Code requirements
Shall submit housing assessment fees as set by the Board of Directors from time to time
Retail Sales and Service Centres shall be encouraged to become members of the Association
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
I agree to remit housing assessment fees as set by the Board of Directors from time to time on a monthly basis and from my own resources for all non-member manufacturers’ per certification labeled product sold.
I have read the Rules and Regulations outlining description of each membership category and agree our Association qualifies for membership under our current category.
I 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 *

Manufacturer MembershipManufacturer Membership

$750.00CAD Quantity

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

Name of Applicant

First NameLast Name

Thank You for Your Continued Support to the Association!

Manufacturer Application Form

Company History

Association Reference (if applicable):