:: Regular Member Sign-Up Form

Company Name:
Address:
City:
Prov/State:
Postal/ZIP Code:
Phone:
Fax:
Email:
Authorized Representative (to be listed in Roster):
Brief Description of Services Offered:
# Years in Business:
# Employees:
Bargaining Relationship with IBEW Local 424: YesNo
Applicant's Name/Title:
Date:

Dues & Assessments

MINIMUM ANNUAL DUES
(prepaid January of each year) $368.00 + GST

Method of Payment: Cash Cheque Credit Card

This application will not be processed until payment is received. For your safety no credit card numbers will be accepted online. If method of payment is "Credit Card" a representative will contact you to process your payment.

Application and Acceptance

I (we) enter application for membership in the Electrical Contractors Association of Alberta, so that I (we) may share in the educational and other Association benefits for greater individual progress. In addition, to assist the Association in obtaining its proper objectives and to enable us to participate in various promotions with other branches of the electrical industry for our improvement and that of the entire construction industry.

If accepted into membership in this Associations, I (we) agree to be bound by the membership requirements of the Objects, By-laws and Working Rules of this Association. It is understood that all Minimum Annual Dues are PAYABLE IN ADVANCE. That any member wishing to resign must do so in writing, have his current fiscal year's dues paid and immediately return the Association plaque which has been his privilege to use as a member. He must immediately discontinue use of any emblems that would identify him as a member of the Association. I give as reference two (2) ECAA member firms,

FIRM 1:     Address:
FIRM 2:     Address: