2011 MEMBERSHIP APPLICATION

MISSION: The Shuswap Construction Industry Community working together to create opportunity and future possibilities; to ensure maximum use of local businesses and individuals on construction projects in the Shuswap.

Fields marked with a * are required.

* NAME OF COMPANY:

* STREET ADDRESS:

* Town:

* MAILING ADDRESS:

* Postal Code:

PUBLISH (please choose one):

Mailing Address or Street Address

* PHONE:

Publish in Directory? Yes No

CELL:

Publish in Directory? Yes No

FAX:

Publish in Directory? Yes No

* EMAIL:

WEB SITE:

* BUSINESS DESCRIPTION: (as you’d like it to appear in the Directory, may include years of service, etc.)

OWNER(S)/MANAGER(S): (attach list if more than 2)

* 1.

POSITION:

Upload List:

* CONTACT PERSON: (to be Listed in Directory)

* NUMBER OF EMPLOYEES: (including owner(s))

Full Time:

Part Time/Seasonal:

* SHUSWAP CONSTRUCTION INDUSTRY PROFESSIONALS FEE SCHEDULE

FULL-TIME EMPLOYEES*	FEE	GST	TOTAL	TICK ONE
1-5	$200.00	$ 24.00	$224.00
6-10	$265.00	$31.80	$296.80
11-20	$325.00	$39.00	$364.00
21 or more	$390.00	$46.80	$436.80

*2 Part-time employees = 1 full-time employee

* Please mark 2 categories which best describe your business. SCIP Members receive a maximum of two FREE listings (as available) in the SCIP Directory. Extra Listings and Reference Lines may be purchased (see below).

SCIP DIRECTORY ADVERTISING

Yes, I would like to reserve advertising space in the 2011 SCIP Directory.

Yes, send me 2011 SCIP Directory advertising rates and details. (including information on Extra Listings and Reference Lines)