Application for Membership Membership year ends December 31st 0000 If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Company * Contact Name * Title Address * Type of Business Phone * Email * Description of business/position to appear with your name on the website (30 words or less) Additional Company Representatives Referred by Class of membership (Annual dues HST included) * Tier 2: (Associate) $155.00 $20.15 $175.15Tier 3: (companies with 1-5 employees) $700.00 $91.00 $791.00Tier 4: (companies with 6-50 employees) $1025.00 $133.25 $1,158.25Tier 5: (companies with 50+ employees) $1,440.00 $187.20 $1,627.20Student Membership: $25.00 Classification * Manufacturer Distributor Education End User Other Please make cheque payable to CFPA. Return to: Canadian Fluid Power Association, 146 Delarmbro Drive, Erin, ON N0B 1T0 Telephone: (519) 833-7417 • Email: info@cfpa.ca
