Membership Application Form

Full Corporation Name*

Contact Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date of Company*

Business Phone*

Cellular

Publish Cellular Number in Membership Directory?

Yes
No

Fax

Email*

Website

Additional Contact Name

Additional Contact Email Address

Previous Member?

Yes
No

Introduced by Member

Company

Third Party Warranty Registration*

Yes
No

* Not applicable for categories other than Builder

HPO Builder Licence #

* If applicable

WCB #

PST #

GST #*

Type of Business (check all that apply)

Please note: All Builder and Developer/Builder applicants must have a warranty and an HPO License number. Applicants may be asked for an interview and/or site inspection.

Address of current project underway

For contractors and developers only: Please provide address of current project underway for the purposes of a site visit by a member of the Board of Directors.

Reason(s) for joining VRBA (please check all that apply)

CARE Awards
Advocacy
Networking
Expressions of Interest
Credibility
Other (please state below)

Other Reason(s) for Joining:

Credit References

Please list three (3) Credit References (Suppliers/Trades)

Credit Reference (1) - Company Name

Name of company of 1st credit reference.

Contact Name

First Last

Phone

Credit Reference (2) - Company Name

Name of company for 2nd credit reference.

Contact Name

First Last

Phone

Credit Reference (3) - Company Name

Name of company for 3rd credit reference.

Contact Name

First Last

Phone

Customer/Client References

Please list below or attach written references from three (3) recent Customers/Clients

Reference (1) Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reference (2) Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reference (3) Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Terms and Conditions*

I agree

I hereby consent to any of the references listed above being contacted and I understand that all new memberships are subject to a one-year probation. Upon acceptance, the undersigned promises to abide by the Constitution and Bylaws of the Association and pledges support of the Association for the general good and welfare of the building industry and members in general. Members shall hold the Association, its Directors, Officers and Members harmless with respect to any actions or discipline which may be imposed upon him/her as a member. The undersigned also agrees to use or display any Association logo or emblem only so long as they remain an Association member in good standing. Victoria Residential Builders Association reserves the sole right to decide admission to the association. All applicants must accept the decision as final and binding.

Signature*

Date

CAPTCHA

Membership Application

Membership Fee schedule

Credit References

Customer/Client References

Contact Us

Location

Contact

Email