Membership Application - CCI New Brunswick

Member #: (If you do not know, please put N.A) *
Salutation:
First name: *
Last name: *
Address *
Suite #
City: *
Province:
Postal Code: *
Email: *
Phone: *
Fax:
How/from whom did you hear about CCI?

Consent to receive electronic messages from the CCI-New Brunswick
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:	$75.00
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Member #: (If you do not have this, please put N.A) *
Salutation:
First name: *
Last name: *
Designation:
Company: *
Occupation: *
Address: *
Suite #:
City: *
Province:
Postal Code: *
Email: *
Phone: *
Fax:
Website: *
How/from whom did you hear about CCI?

Consent to receive electronic messages from the CCI-New Brunswick
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:	$150.00
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Member #: (If you do not have this, please put N.A) *
Salutation:
First name: *
Last name: *
Designation:
Company: *
Occupation: *
Address: *
Suite #:
City: *
Province:
Postal Code: *
Email: *
Phone: *
Fax:
Website: *
How/from whom did you hear about CCI?

Consent to receive electronic messages from the CCI-New Brunswick
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): *	/

Member #: (If you do not have this, please put N.A) *
Company: *
Salutation:
First name: *
Last name: *
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: *
Fax:
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-New Brunswick
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.

PAYMENT INFORMATION

Total:	$150.00
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

Member #: (If you do not have this, please put N.A) *
Company: *
Salutation:
First name: *
Last name: *
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: *
Fax:
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-New Brunswick
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.

PAYMENT INFORMATION

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

Member #: (If you do not have this, please put N.A) *
Condominium Type: *	Townhouse High Rise 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: *
Province:
Postal Code: *
Phone: * (Can be from Condo Board or Management Company)
Fax:
Email: *
Consent to receive electronic messages from the CCI-New Brunswick 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:
Fax:
Email:
Consent to receive electronic messages from the CCI-New Brunswick 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:
Email:

BOARD MEMBER 2 CONTACT INFORMATION

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

BOARD MEMBER 3 CONTACT INFORMATION

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

BOARD MEMBER 4 CONTACT INFORMATION

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

BOARD MEMBER 5 CONTACT INFORMATION

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

PAYMENT INFORMATION

Total:	$150.00
Card Holder's Name: *
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

First Name *
Last Name *
Company
Condo Corporation
E-Mail *
Telephone
City
Postal Code *

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