Membership Application - CCI London and Area Chapter

Salutation:
First name: *
Last name: *
Position/Title:
Industry Accreditations:
Address *
Suite #
City: *
Province:
Postal Code: *
Email: *
Phone: *
How/from whom did you hear about CCI?

Consent to receive electronic messages from the CCI-London
CCI communicates with its membership via e-mail regarding updates on condominium legislation, CCI events and opportunities, newsletters, and member communications; in accordance with the Canada anti-spam law that came into effect July 1, 2014 you must indicate whether you wish to receive electronic correspondence from us.

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

PAYMENT INFORMATION

Total:	$240.00 ($240 + $0.00 HST)
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Salutation:
First name: *
Last name: *
Position/Title:
Industry Accreditations:
Designation:
Company: *
Occupation: *
Address: *
Suite #:
City: *
Province:
Postal Code: *
Email: *
Phone: *
Website: *
How/from whom did you hear about CCI?

Consent to receive electronic messages from the CCI-London
CCI communicates with its membership via e-mail regarding updates on condominium legislation, CCI events and opportunities, newsletters, and member communications; in accordance with the Canada anti-spam law that came into effect July 1, 2014 you must indicate whether you wish to receive electronic correspondence from us.

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Take advantage of our Sponsorship and Advertising opportunities by visiting the links below:

Sponsorships

Advertising

PAYMENT INFORMATION

Total:	$240.00 ($240 + $0.00 HST)
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Salutation:
First name: *
Last name: *
Position/Title:
Industry Accreditations:
Designation:
Company: *
Occupation: *
Address: *
Suite #:
City: *
Province:
Postal Code: *
Email: *
Phone: *
Website: *
How/from whom did you hear about CCI?

Consent to receive electronic messages from the CCI-London
CCI communicates with its membership via e-mail regarding updates on condominium legislation, CCI events and opportunities, newsletters, and member communications; in accordance with the Canada anti-spam law that came into effect July 1, 2014 you must indicate whether you wish to receive electronic correspondence from us.

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

PAYMENT INFORMATION

Total:
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Company: *
Salutation:
First name: *
Last name: *
Position/Title:
Industry Accreditations:
Industry: *
Address *
Suite #
City: *
Province:
Postal Code: *
Email: *
Electronic Correspondence: *	I agree to receive electronic correspondence I DO NOT wish to receive any electronic correspondence
Phone: *
Website: *
How/from whom did you hear about CCI?
Secondary Contact First name:
Secondary Contact Last name:
Secondary Contact Email:
Electronic Correspondence:	I agree to receive electronic correspondence I DO NOT wish to receive any electronic correspondence

Consent to receive electronic messages from the CCI-London
CCI communicates with its membership via e-mail regarding updates on condominium legislation, CCI events and opportunities, newsletters, and member communications; in accordance with the Canada anti-spam law that came into effect July 1, 2014 you must indicate whether you wish to receive electronic correspondence from us.

Take advantage of our Sponsorship and Advertising opportunities by visiting the links below:

Sponsorships

Advertising

PAYMENT INFORMATION

Total:	$240.00 ($240 + $0.00 HST)
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Condominium Type: *	Townhouse High Rise Vacant Land Other
Condominium Corporation (ie. ABCD # 1234): *
Condominium Name (spell out name, no acronym):
No. of Units: *
Registration Date: *
How/from whom did you hear about CCI?
Please forward Membership renewal correspondence to: *	Management Company Condominium Corporation

CONDOMINIUM CORPORATION CONTACT INFORMATION

Contact First name: * (Can be from Condo Board or Management Company)
Contact Last name: * (Can be from Condo Board or Management Company)
Address *
Suite #
City: *
Postal Code: *
Phone: * (Can be from Condo Board or Management Company)
Email: *
Consent to receive electronic messages from the CCI-London CCI communicates with its membership via e-mail regarding updates on condominium legislation, CCI events and opportunities, newsletters, and member communications; in accordance with the Canada anti-spam law that came into effect July 1, 2014 you must indicate whether you wish to receive electronic correspondence from us.
Electronic Correspondence: *	I agree to receive electronic correspondence I DO NOT wish to receive any electronic correspondence

MANAGEMENT COMPANY CONTACT INFORMATION

Management Company:
First name:
Last name:
Address
Suite #
City:
Province:
Postal Code:
Phone:
Email:
Consent to receive electronic messages from the CCI-London CCI communicates with its membership via e-mail regarding updates on condominium legislation, CCI events and opportunities, newsletters, and member communications; in accordance with the Canada anti-spam law that came into effect July 1, 2014 you must indicate whether you wish to receive electronic correspondence from us.
Electronic Correspondence:	I agree to receive electronic correspondence I DO NOT wish to receive any electronic correspondence

BOARD MEMBER 1 CONTACT INFORMATION

Salutation:
First name: *
Last name: *
Address: *
Suite #:
City: *
Postal Code: *

BOARD MEMBER 2 CONTACT INFORMATION

Salutation:
First name:
Last name:
Address:
Suite #:
City:
Postal Code:

BOARD MEMBER 3 CONTACT INFORMATION

Salutation:
First name:
Last name:
Address:
Suite #:
City:
Postal Code:

BOARD MEMBER 4 CONTACT INFORMATION

Salutation:
First name:
Last name:
Address:
Suite #:
City:
Postal Code:

BOARD MEMBER 5 CONTACT INFORMATION

Salutation:
First name:
Last name:
Address:
Suite #:
City:
Postal Code:
For Board Members to receive emails from CCI London, download the Anti-Spam form and submit it to the CCI London Office.

PAYMENT INFORMATION

Total:	$240.00 ($240 + $0.00 HST)
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

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Membership Application/Renewal