Associate Member Application

Associate Member Application
Purpose:

Associate Membership is for individuals and organizations that support the body piercing industry but are not applying as piercers, apprentices, or studios.

Examples include jewelry manufacturers, suppliers, studio managers, front-of-house professionals, jewelry specialists, educators, consultants, and other industry partners.
Name

First NameLast Name
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Which best describes your role?
if other, please specify
Current Occupation / Title
Business or Organization Name (if applicable)
How many years have you been involved in the body piercing industry?
Please briefly describe your involvement in the body piercing industry.
Why would you like to become an Associate Member of the CPPA?
Do you currently work with a piercing studio?
Studio Name:
Studio City and Province/State:
Do you manufacture or distribute jewelry or piercing-related products?
Company Information:
Description of Products or Services:
Product Catalogue:

Cancelof
Company Profile:

Cancelof
Material Specifications and Mill Certs:

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Quality Assurance Documentation:

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Application Declaration

By signing below, I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that submitting this application does not guarantee membership and that all applications are subject to review by the Canadian Professional Piercers Association (CPPA).

I understand that I must review and sign the CPPA Code of Ethics before my application can be considered complete.
Applicant Name

First NameLast Name
Signature
Date

MonthDayYear
Date
Should be Empty: