Fleet Safety Council Please Register Me as an Active Member with theFleet Safety Council 5110 Creekbank Road, Suite 400 Mississauga, Ontario L4W 0A1 Canada T el: 1-800-263-5024 ext. 7936 or 7946 Fax: 905-625-8998 _______________________________________________ Name _______________________________________________ Employer _______________________________________________ Business Address __________________________ ____________________ City Postal Code ______________________ Phone Fax _______________________________________________ Cell Phone Number _______________________________________________ E-mail Upon acceptance of this application by the Council Executive, I agree to uphold and assist in the promotion of the aims and objectives provided in the Council’s Constitution. _______________________________________________ Signature of Applicant All cheques made payable to: Fleet Safety Council Date Paid: ____________________ Cheque Cash Please indicate which Chapter you wish to joi n: _____________________________________________ Please send completed form and cheque to: Fleet Safety Council 5110 Creekbank Road, Suite 400 Mississauga, Ontario L4W 0A1 www.ihsa.ca IHSA is committed to working with both management and employees in the transportation sector to create a healthy and safe work environment. We work with our member companies through consulting, evaluations and training. As your partner in safety, together we can prevent occupational injuries and illnesses. Safety awareness is the first step to health and safety. Prevention is our ultimate goal. Fleet Safety Council
