Nomination Form

FEE SCHEDULE:

1 - 9 employees (including owners) $150.00

10 - 19 employees (including owners) $200.00

20- 49 employees (including owners) $300.00

50 - 99 employees (including owners) $500.00

Over 100 employees (including owners) $600.00

Non-agency Associate Membership $500.00

As a collection agency fully licensed and bonded and in good standing with our provincial authorities, we make application for membership in the Ontario Society of Collection Agencies. If accepted, we agree to comply with the by-laws and code of ethics of the organization. We further agree to advance the interests of the association and to carefully promote the welfare of the collection profession. We understand that membership is not transferable.

Private Ownership Partnership Corporation Other

List owners, partners, and / or majority stockholders:

CONTACT NAME: 

TITLE:

REG#:

AGENCY:

Address:

City:

Province:

Postal Code:

Telephone:

Fascmille:

E-mail address:

NAME & TITLE:

% of stock:

Address:

City:

Province:

NAME & TITLE:

% of stock:

Address:

City:

Province:

Please enclose your cheque for $________________

Date: ________________

Signature: ________________

Please make your cheque payable to "Ontario Society of Collection Agencies" and forward along with completed form to:

Ontario Society of Collection Agencies

16635 Yonge Street , Suite 26

Newmarket, Ontario L3X 1V6