Prince Edward County Construction Association Membership Application

Please fill out the form below in full to apply for membership in the Prince Edward County Construction Association.

Trade Name*

Legal Name (if different than trade name)

Business & Postal Address*

Business Telephone*

Fax Number

Home Phone Number

Email Address*

Website

If Incorporated, list officers / If Partnership, list names of partners:

Type of Business*

Type of Service

Are you licensed for the service/work you perform?*

Yes

Number of Years in Business*

What license or designation do you carry?

Do you carry liability insurance (minimum $1,000,000)?*

Yes

Do you agree to carry the coverage throughout your membership?*

Yes

Do you have staff?*

Yes

Do you carry Worker's Compensation (WSIB)?*

Yes

What does your business offer to the association?*

Sponsoring member*

Trade, Supplier Referrals (Name & Telephone Number Please)

Note: Each member must be prepared to attend (or send a representative) to at least 3 dinner meetings of the Association during the year of membership

Declaration:

I have read and understood all the provisions of the Prince Edward County Construction Association’s Constitution and Code of Ethics and hereby acknowledge that I agree to uphold all the principals, standards and ethics contained in these documents; I understand that if I do not, this might constitute a revocation of membership at any time.

I hereby submit my application for membership review

Name & Authorized Signature:*

Date*

Applicants will be reviewed by the Membership Committee and the Directors for a decision.
All applicants must be sponsored by an existing Member

Enter the code displayed*

Prince Edward County Construction Association
Box 6071, Picton ON K0K2T0
pecc.association@gmail.com