franchise support service/supplier membership application€¦ · franchise support...
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FRANCHISE SUPPORT SERVICE/SUPPLIER MEMBERSHIP APPLICATION
Franchise Support Service/Supplier (FSS/Supplier) membership is for a person or company engaged in providing products or services to franchise systems.
Our application form is a fillable PDF which you may fill out at your convenience. Please
complete the form in its entirety. This form provides an electronic signature option, which
is binding when selecting the indicated boxes; you are in fact “signing” the document.
When complete, please return your application via email ([email protected]) or fax (416-695-1950).
1. Completed Franchise Support Service/Supplier applications are reviewed by the CFA Membership Department, CFA’s
Board and/or Executive Committee. If a Director or Committee member is from a company in the same industry as
the applicant, they are excused from that part of the meeting.
2. A notice of the names of the applicants is sent to all CFA members in advance of the meeting.
3. If granted membership:
a. You will be entitled to identify yourself as a Franchise Support Service/Supplier Member of the Canadian
Franchise Association.
b. The first twelve (12) months are considered an Induction Year, which includes all rights and privileges, except
chairing CFA Committee. Any time during the Induction Year, CFA may repeat any part of the original application
process. At the end of the Induction Year, the CFA Board or Executive Committee will review the membership and
approve the applicant to Full Member status, provided the membership is in good standing.
4. If a membership is not granted, the application deposit is refunded to the applicant.
Members are permitted and encouraged to use the CFA member logo to identify themselves as members on all
marketing and trade information, websites, etc.
Membership includes:
Attendance at and member rates for CFA events and seminars (Note: Non-member attendance has some limitations)
Exclusive access to advertising in CFA’s media – Print and Web
Access to CFA’s Franchise Shows and CFA sponsorship opportunities, presentation & authorship opportunities
A full free listing on the CFA website, and listed as a member in the annual FranchiseCanada Directory and
FSS/Supplier Directory published at the beginning of each calendar year and distributed to CFA’s members and
prospective franchisees
The following documents are necessary for completing your application. Incomplete applications cannot be
processed – please ensure that you have enclosed all of the following documents with your application
submission:
Completed and signed application form with payment
Current marketing/sales brochure
Initialed CFA Code of Ethics
For more information or assistance with your application, please contact:
Membership Sales at [email protected] or call toll free to 800-665-4232, ext. 247
Member Benefits
Membership Application Process
By checking the box you con�rm that you have read, understood, endorse and subscribe to this Code of Ethics. Please Initial:
Revised March 19, 2007
Code of Ethics
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FRANCHISE SUPPORT SERVICE/SUPPLIER MEMBERSHIP APPLICATION
NOTE: If additional space is required for any response, please attach a separate page.
SECTION 1: APPLICANT INFORMATION Full Legal Company Name: _______________________________________________________________________
Trade/Brand Name: ____________________________________________________________________________
Head Office Street Address: ______________________________________________________________________
City:_______________________ Prov/State/Country:___________________________Postal/Zip: _____________
E-mail: ________________________________________ Phone: ____________________ Fax: ________________
Website: __________________________________Website for franchise info: _____________________________
Has the applicant previously held CFA membership? Yes No If “yes”, when?: ____________________
Official Designee to CFA: The Official Designee is the primary contact for membership renewals, member surveys, invitations to programs or major membership matters. This contact would also be entitled to take advantage of (or assign) the complimentary convention delegate registration we provide to new approved members in their first year.
First & Last Name: ___________________________________ Title: ______________________________________
Office Address: ________________________________________________________________________________
Phone: ____________________ Ext._______ Cell: __________________________ Fax: ______________________
E-mail: _______________________________________________________________________________________
Additional contacts from your company who would like to receive CFA communications:
1) Name: ______________________________________ Title: __________________________________________
E-mail: _____________________________________________________________________________________
2) Name: ______________________________________ Title: __________________________________________
E-mail: _____________________________________________________________________________________
Please tell us how you learned of CFA?
Referred by (Name/Company): ___________________________________________
Internet search
Contacted by CFA (Name/Department): ___________________________________________
Magazine/Newsletter/TV advertisement, please specify: ___________________________________________
Social/Business network, please specify: ___________________________________________
Other company’s website, please specify: ___________________________________________
What benefits are most important to you in joining CFA? ___________________________________________
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SECTION 2: BUSINESS & HISTORY Date when the applicant began operation: __________________ (m/y)
Date when the applicant began providing products/services to the franchise industry: __________________ (m/y)
Date when the applicant’s franchise group (if any) was established: __________________ (m/y)
Number of people who devote at least 50% of their time to franchising: __________________ (m/y)
Current and past involvement of applicant in franchise systems (if any): __________________ (m/y)
Please indicate the current number of offices/branches according to province/territory: (please attach list)
BC AB SK MB ON QC NB PEI NS NFLD YT NT NU
Is the applicant a member in good standing of franchise association of any other country(s)?
No Yes If “Yes”, please state the country(s): _____________________________________________
Please provide a brief description of the nature and history of the applicant’s business. (*Note: There is a 500 character limit. Also, this information will be included in your online/print listing. Please provide separately any sales/promotional material if applicable.)
SECTION 3: DIRECTORY LISTING INFORMATION CFA provides a free listing in the FranchiseCanada and FSS/Supplier Directories, both published annually and online at www.cfa.ca. Please tell us how you would like to appear in the listing
Please use the information provided in Section 1
Please use the following information in my public listing
Company: _____________________________________________________________________________________
Contact/Title: __________________________________________________________________________________
Address: ______________________________________________________________________________________
Phone: ____________________________________________ Fax: _______________________________________
Email: ____________________________________________ Website: ____________________________________
SECTION 4: INDUSTRY TYPE
Please select ONE of the categories for your listing in CFA’s online FSS/Supplier Directory on www.cfa.ca
Accountants
Advertising/Graphics
Alternative Dispute Resolution
Banks/Financial Services
Business Aids & Services
Computer/Software/Training
Education/Training/Coaching
Events & Conferences/Facilities
Executive Search
Franchise Consulting Services
Franchise Development
Insurance
Lawyers
Payroll/HR Services
Printers/Publishers/Publications
Security Systems & Services
Other
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SECTION 5: LEGAL MATTERS
1. Is the applicant registered or licensed in any jurisdiction by a competent licensing body to deal with the public in
any capacity? Yes No
If “YES”, please specify the body and jurisdiction below, then proceed to Section 6.
____________________________________________________________________________________________
If “NO”, please answer the following questions:
2. Has the applicant been refused registration or any licence, or has any registration or licence been suspended or cancelled, or is the applicant operating without any necessary registration or licence, in any jurisdiction?
Yes No
3. Has the applicant, any predecessor of the applicant, any major shareholder (10% or more), director, officer, or general partner of the applicant, having day-to-day management responsibilities:
a. Been adjudged or voluntarily become bankrupt; reorganized due to insolvency; taken the benefit of any statute for the relief of bankrupt or insolvent debtors; or, become subject to any pending bankruptcy,
insolvency or reorganization proceeding? Yes No
b. Had any conviction(s) for an indictable offence under the Criminal Code of Canada, within the last seven (7)
years, which remains outstanding? Yes No
*If you answered “Yes” to any of the questions in Section 5, please provide details below*
SECTION 6: AUTHORIZATION, DECLARATION AND ACKNOWLEDGMENT
By checking the “Agreement/Signature” box below, I authorize the following:
1. I represent and warrant to the CFA that I have authority to act on behalf of the applicant.
2. I declare that the information given on or pursuant to this application is true and complete and not misleading in any way.
3. I acknowledge on behalf of the applicant that in accordance with CFA bylaws, membership is the decision of the Board of Directors and at any time a member may be asked to provide such supporting information and documentation relative to its continuing as a member the Association may require.
4. I acknowledge, on behalf of the applicant, that if approved for membership, the initial twelve (12) months are considered an “Induction Year”, and that membership includes all rights and privileges, except the right to chair a CFA Committee. I also acknowledge that the CFA Board or Executive Committee will review the membership at the end of the Induction Year and will either approve the applicant for full membership or terminate the membership. I further acknowledge that at any time during the Induction Year, CFA may repeat any part of the original application process to inform the decision.
5. I confirm, on behalf of the applicant, that the applicant has read and understood, and endorses and subscribes to, the CFA Code of Ethics. I acknowledge, on behalf of the applicant, that any failure of a CFA member to comply with the Code of Ethics may result in suspension of membership privileges or in termination of membership, without refund of dues paid.
Agreement/Signature ______________________________________________ Name of Authorized Signing Authority _________________________________ ______________________________________________ Date Title ______________________________________________ email
Name of the Person who completed this form (if different from Authorized Signing Officer):
____________________________________________________________________________________________
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CFA 2017-18 Membership Dues Schedule FSS/Supplier
Effective June 2017, may be subject to change without notice
Franchise Support Service/Supplier (FSS/Supplier) membership is for a person/company engaged in providing products or services to franchise systems. Applicants that operate other Support Service organizations under the same corporate ownership or operate under different brands within the common ownership may apply for a membership that includes those organizations or brands.
TYPE OF FSS/SUPPLIER:
FSS/Supplier Single Brand
FSS/Supplier 2 Brands
(1 additional)
Annual Dues $2,650 $3,350
PAYMENT METHOD: APPLICABLE SALES TAX CHART Method of Payment: Credit Card Number:
GST/HST Registration Number: R122972920 VISA QST Registration Number: 1212953071 MASTERCARD Expiry:
BC, AB, MB, NU, NWT, SK, YK: 5% GST
ON: 13% HST = 13%
QC: 5% GST + 9.975% PST = 14.975%
NB, NS, PEI, NL: 15% HST = 15%
US/INT: 0%
AMEX
Cardholder Name: Please INVOICE me
CHEQUE to follow Signature:
Membership Dues: $
Applicable Taxes: $
Total: $
Return your completed application form and any supporting documents to the CFA Membership Department by:
E-mail: [email protected] Fax: 416-695-1950 Mail: 116-5399 Eglinton Ave W, Toronto, ON M9C 5K6 Questions? Contact Ruth Stuart Moore, CFA Membership Sales, at [email protected] or call 416-695-2896 ext. 247