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BULLETIN MEMBERSHIP APPLICATION 2012/2013 The undersigned hereby applies for Membership in the Canadian Home Builders Association Medicine Hat Region Company Name or Registered # Company Address City, Province Postal Code Business Phone ( ) Fax: ( ) Company Website Company Email (Main) Company Principles NOTE: Newsletters and Bulletins are sent out by E-MAIL ONLY Name: Title: Cell: Company Representative Name: Title: Cell: Type of Business Builder Renovator Trade Land Developer Supplier Manufacturer Service & Professional Other Specify: Description of Business Business License # : GST # : Worker s Compensation # : SAFETY CERTIFIED: Do you have Certificate of Recognition (COR) or Small Employer Certificate of Recognition (SECOR)? If YES, please provide copy of certificate No N/A to Service Professional or Retailer In Progress, please check what is completed Standard First Aid Safety Manual Audit Number of Years in Business: Please provide name of your Company s Insurance Provider: Have you previously owned a business? If so, what was the name of that business? Have you claimed bankruptcy in the last 5 years? If so, what is the Date of Discharge?

CHBA Member Reference Industry Reference Company Name: Contact: Company Name: Contact: REFERENCES: Phone: Phone: MEMBERSHIP APPROVAL PROCESS Must have up to three employees to be eligible. Open to non-profit organizations or associations where number of employees is exempt. Reference checks may be conducted with verification that all mandatory membership requirements and criteria are satisfied. Membership applications are subject to CHBA - Medicine Hat Board approval. Applicants will be notified of the Board of Directors decision typically within one month following public announcement. FEE STRUCTURE: Bulletin Member dues are pro-rated by application date Dues are pro-rated plus GST depending on your application date, please refer to the following table The Membership Year is November 1 st October 31 st each year Membership Fees are subject to change annually by resolution of the Board of Directors APPLICATIONS WITHOUT REQUIRED FEES ARE NOT PROCESSED. All fees are held until all approvals are in place. Should this application be refused, the membership fee shall be returned to the applicant without interest. November 1, 2012 $ 350.00 December 1, 2012 $ 350.00 January 1, 2013 $ 325.00 February 1, 2013 $ 275.00 March 1, 2013 $ 250.00 April 1, 2013 $ 200.00 May 1, 2013 $ 175.00 June 1, 2013 $ 150.00 July 1, 2013 $ 100.00 August 1, 2013 $ 75.00 September 1, 2013 $ 50.00 October 1, 2013 $ 25.00 METHOD OF PAYMENT CHBA Medicine Hat accepts Cheque, Visa or MasterCard. Please make Cheques Payable to: CHBA Medicine Hat CHBA GST Registration # 81394 7892 Visa or Mastercard # S/C Code: Card Holder s Name (print) Authorized Signature Expiry Date: Please review and sign the Declaration and Code of Ethics attached and return with application. CANADIAN HOME BUILDERS ASSOCIATION MEDICINE HAT REGION PO Box 24025, RPO Crestwood, Medicine Hat, Alberta T1A 8M8 Phone: 403-977-6722 eo@chbamedicinehat.com Web: www.chbamedicinehat.com

BULLETIN MEMBER BENEFITS 1. One time initial Administrative fee will be waived. 2. The strength of speaking as one voice with local municipal authorities. 3. Attend regular meetings and lunch n learns. 4. Receive regular industry updates, emails, and newsletters at member rates. 5. Attend organized events at a member fee i.e. Golf Tournament. 6. Be actively involved with CHBA s largest fundraiser The Home Show coming April 12-14, 2013! CHBA members receive first choice of booth selection join and reserve your booth today! 7. Access to Built Green. 8. The opportunity to network with your peers in the industry at our monthly meetings/dinner meetings. 9. Access to potential customers within the membership. 10. Eligible for member benefits i.e. group insurance rates with Reliance Insurance and discounted advertising fees with RealPropertyMall.TV and Medicine Real Estate Guide. FULL MEMBER BENEFITS 1. The strength of speaking as one voice with local municipal authorities. 2. Attend regular meetings, lunch n learns 3. Receive regular industry updates, emails, and newsletters at member rates. 4. Attend organized events at a member fee i.e. Golf Tournament. 5. Be actively involved with CHBA s largest fundraiser The Home Show coming April 12-14, 2013! CHBA members receive first choice of booth selection join and reserve your booth today! 6. Access to Built Green. 7. The opportunity to network with your peers in the industry at our monthly meetings/dinner meetings. 8. Access to potential customers within the membership. 9. An opportunity to be actively involved in a dynamic group of your industry peers i.e. apply to sit on the Board of Directors and/or committees. 10. Opportunity to show your innovation and creativity through our awards of excellence program called the Top Hat Awards! 11. Your company profile will be listing on CHBA s website www.chbamedicinehat.com. 12. Group insurance offered through Reliance Insurance, providing discounted rates on personal home and auto insurance. 13. Voting rights for the local or provincial CHBA chapters. 14. Eligible for local awards. 15. Eligible for member benefits i.e. group insurance rates with Reliance Insurance and discounted advertising fees with RealPropertyMall.TV and Medicine Real Estate Guide. 16. Access to local, provincial and national resources plan copying, industry statistics, how to write up contracts, etc. 17. Enhanced marketing for your product consumers see CHBA membership as a mark of distinction. 18. Government lobbying on your behalf CHBA successfully reduced turn-around times on title searches, for example. 19. An opportunity as builders to participate in the Parade of Homes. 20. Home Warranty Program coverage membership requirement for builders.

DECLARATION Declaration for All Membership Categories: I hereby make application for membership in the Canadian Home Builders Association at all levels and attach payment covering membership fees as per the above schedule. I certify that none of the principals of this company has been refused membership, refused renewal of membership or had membership revoked by any level of the Canadian Home Builders Association, across Canada. I declare that all information contained on this application to be true and accurate and I authorize the Association to undertake investigative procedures to confirm the accuracy of such information including, but not limited to a verification of the credit worthiness of the applicant and reference checks. The Board of Directors reserves the right to reject any application for membership in the Association, or to defer consideration of an application. Should my application be rejected, I agree to fully indemnify and save harmless the Association and its directors from any and all loss, cost, claims or damage of whatever kind and however arising as a result of such refusal of this application. Information Disclosure for All Membership Categories: (Privacy Agreement) It is the mandate of the Canadian Home Builders Association at all levels, local, provincial and national, to provide information, promote membership and foster communications, i.e. catalogues of members, Internet information, new products and services etc. The applicant hereby consents to the use of the contact information only in this application for such purposes (banking and credit card and propriety information exempted) by all levels of the CHBA. Additional Declaration for New Home Builders, Renovators and Developers Specifically: I commit that all new homes built by my company that are eligible for warranty coverage will be enrolled in a new home warranty program. I accept that where an Association-required industry designation programs are in place, the company will achieve and maintain the required designations. I agree that where an Association-required voluntary workplace health and safety program is available, our company must participate in this program. Acceptance of By-laws and Code of Ethics For All Members I hereby acknowledge receipt of the Association By-laws and Code of Ethics, and I voluntarily promise to operate my firm in accordance with the spirit and intent of these By-Laws and Code of Ethics. I understand that violation of any By-law or any portion of the Code of Ethics may be subject to disciplinary procedures. Signature of Applicant: Date: (Corporate Signing Officer) Name: Position:

CODE OF ETHICS Members shall comply with applicable building codes of Canada as a minimum standard for construction and shall work toward its improvement in the interests of structural sufficiency, safety, and health. Members shall plan their sites and homes to conform to the principles of good community planning and support for the environment. Members shall deal justly with their employees, subcontractors, and suppliers of all goods and services. Members shall deal honestly and fairly with their customers and stand behind the quality of their work and service commitments. Members shall exchange information and experience, and encourage research on materials, technical advancements, and building techniques in order to provide the best value for their customers. Members shall avoid all conduct or practice detrimental to the house building industry, to the Association, to the good name or reputation of any of its members, or its customers. Members shall commit to continuing learning through human resource policies and practices, including employment practices which treat employees as assets. Members shall actively promote health and safety principles. Members shall treat their competitors, including their property and ideas, with respect. These responsibilities are freely and solemnly assumed as they form part of an obligation as members of the Canadian Home Builders Association Medicine Hat Region I CONFIRM I HAVE READ THE ABOVE CODE OF ETHICS (INITIAL HERE):