CCA Anuual General Meeting
April 26th, 2012 Toronto, ON

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CCA Supplier/Associate Membership Application

OWNER / VOTING MEMBER INFORMATION

First Name :

Last Name :

Company Name :

Business Office Address :

City :

Province/State :

Postal Code :

Telephone :

Fax :

E-Mail :

The Canadian Carwash Association has added new features to its website for the betterment of its members. One such feature is the supplier listings page, which is the most often visited page on the CCA website other than the home page. Supplier members receive a free listing on this page. Once your registration is recorded you will receive by email the listing form which you must fill in and return to the national office. Your listing will be posted or updated shortly after receipt of the necessary information.

ANNUAL DUES

See a description of the Associate Member levels and benefits.

Supplier/Associate Membership Type:
Basic Supplier/Associate Member
Bronze Sponsor Level ($750)
Silver Sponsor Level ($1,500)
Gold Sponsor Level ($3,000)
Platinum Sponsor Level ($4,500)

Sub-Total :

Plus GST/HST (GST#124773920) :

Total Membership Fee :

PAYMENT METHOD

If you wish to pay by cheque, please print this page and mail it with your cheque payable to the Canadian Carwash Association to:

Canadian Carwash Association
346 – 4195 Dundas Street West Toronto, Ontario M8X 1Y4

If you wish to pay by credit card, press the button below and you will be taken to a secure Moneris online website for payment:

For more information download the sponsorship PDF.

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