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 MEMBERSHIP APPLICATION Please submit ONE membership application PER company location COMPANY INFORMATION Company Name ______________________________________________________________________________________  Date of incorporation/registr ation ______(d)_____ (m)______ (y) GST Exemption Yes # ____________________  You MUST attach a copy of incorporation/registrati on papers. For members in QUEBEC, please include proof of a ll permits or insurance required by the province. In those provinces where a security license is required, you MUST provide a copy of the LICENSE. LOCATION INFORMATION Street Address _______________________________________________________________________________________  City _______________________________ Province/State _______ Postal/Zip Code ______________ Country __________ Phone ( )_________________________________ Fax ( )________________________________________ Toll Free Telephone _______________________Website ______________________ E-mail _________________________ Number of employees, including owner: ______________ F ull time ___________ Par t-time CANASA Chapter closest to the above-mentioned location British Columbia Chapter  Edmonton Sub-Chapter  London Sub-Chapter  Atlantic Chapter  Alberta Chapter  Manitoba Chapter  Ottawa Sub-Chapter  United States Calgary Sub-Chapter  Ontario Chapter  Quebec Chapter  International PRIMARY CONTACT INFORMATION This company representative will receive all CANASA correspondence Mr. Mrs. Ms. First Name: _______________________________ Last Name: ____________________________ Title: ____________________________________ Primary Role: ________________________________________________ Phone: ( )_________________________________ Fax: ( )_______________________________________ Toll Free Telephone: _______________________ E-mail: ________________________ E-mail Preferred Yes No Additional Contacts at this location: First and Last Name: _______________________________________________ E-mail: _____________________________ First and Last Name: _______________________________________________ E-mail: _____________________________ First and Last Name: _______________________________________________ E-mail: _____________________________ Send all correspondence in: English French I DO NOT want correspondence from CANASA CANASA values the privacy of its members and customers. All information collected is done so in accordance with our Privacy Policy. To view CANASA’s Privacy Policy please visit the website at www.canasa.org.  Please check this box if you do not wish to receive any correspondence from CANASA (this includes Security Canada information, E-flash monthly newsletter etc.).  Please check this box if you do not wish to receive any correspondence directly from our MAP Partners.  Please check this box if you do not wish your information to be displayed on our website or in our Membership Directory. Canadian Security Association L’Association Canadienne de la Sécurité 610 Alden Road, Suite 100, Markham, ON L3R 9Z1 T: 905.513.0622 or Toll Free: 1.800.538.9919 F: 905.513.0624 E: [email protected] www.canasa.org Revised Aug.1.2008

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Page 1: Canasa Security Association Membership Info

8/8/2019 Canasa Security Association Membership Info

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MEMBERSHIP APPLICATIONPlease submit ONE membership application PER company location

COMPANY INFORMATIONCompany Name ______________________________________________________________________________________ Date of incorporation/registration ______(d)_____ (m)______ (y) GST Exemption Yes # ____________________

You MUST attach a copy of incorporation/registration papers.

For members in QUEBEC, please include proof of all permits or insurance required by the province.

In those provinces where a security license is required, you MUST provide a copy of the LICENSE.

LOCATION INFORMATION

Street Address _______________________________________________________________________________________

City _______________________________ Province/State _______ Postal/Zip Code ______________ Country __________ Phone ( )_________________________________ Fax ( )________________________________________

Toll Free Telephone _______________________Website ______________________ E-mail _________________________ Number of employees, including owner: ______________ Full time ___________ Part-time

CANASA Chapter closest to the above-mentioned locationBritish Columbia Chapter Edmonton Sub-Chapter London Sub-Chapter Atlantic Chapter

Alberta Chapter Manitoba Chapter Ottawa Sub-Chapter United States

Calgary Sub-Chapter Ontario Chapter Quebec Chapter International

PRIMARY CONTACT INFORMATIONThis company representative will receive all CANASA correspondence

Mr. Mrs. Ms. First Name: _______________________________ Last Name: ____________________________

Title: ____________________________________ Primary Role: ________________________________________________

Phone: ( )_________________________________ Fax: ( )_______________________________________

Toll Free Telephone: _______________________ E-mail: ________________________ E-mail Preferred Yes

Additional Contacts at this location:First and Last Name: _______________________________________________ E-mail: _____________________________

First and Last Name: _______________________________________________ E-mail: _____________________________

First and Last Name: _______________________________________________ E-mail: _____________________________

Send all correspondence in: English French I DO NOT want correspondence from CANASA

CANASA values the privacy of its members and customers. All information collected is done so in accordance with our Privacy Policy. To view CANASA’s Privacy Policy please visit the website at www.canasa.org.

Please check this box if you do not wish to receive any correspondence from CANASA (this includes Security Canadainformation, E-flash monthly newsletter etc.). Please check this box if you do not wish to receive any correspondence directly from our MAP Partners.

Please check this box if you do not wish your information to be displayed on our website or in our Membership Directory.

Canadian Security AssociationL’Association Canadienne de la Sécurité

610 Alden Road, Suite 100, Markham, ON L3R 9Z1T: 905.513.0622 or Toll Free: 1.800.538.9919

F: 905.513.0624 E: [email protected] www.canasa.org

Revised Aug.1.20

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CANASA Member Category Definitions & Fee Structure

CATEGORY DESCRIPTION 1st LOCATION

ADDITIONALLOCATIONS

Student

Must be a student registered in a full-time (1 to 2 year) SecurityProgram Course in order to qualify. Upon graduation, studentmembership becomes invalid. A professor of the Security Programmust submit student applications. $43.00 N/A

Single Installer/SystemsIntegrator

A self-employed installer/systems integrator with no business partners,contractors or employees and contracts its monitoring to a third party. $182.00 N/A

Installer/SystemsIntegrator

A business that sells, installs, integrates and/or services electronicsecurity systems but contracts its monitoring to a third party. $371.00 $305.00

Installer/ Monitoring A business that sells, installs and monitors electronic security systems. $614.00 $425.00

Monitoring Only A business that only performs monitoring - for accounts of installingcompanies (i.e. third party). $614.00 $425.00

Manufacturer A company that manufactures security products or components. $668.00 $425.00

Distributor A company that stocks and distributes various manufacturers’ securityproducts and equipment. $668.00 $425.00

Agents An agent is one who sells security products for manufacturers, butdoes not stock product. $425.00 $305.00

Consulting Company Any company that provides consultation services to other companieswithin the security industry. $425.00 $305.00

Consultant An individual who provides consulting services to the security industry. $182.00 N/A

Security Director/Professional Department

A department within an organization whose function is to providesecurity services to the organization and who recommends or purchases security for their company, corporation or institution. $668.00 $425.00

Security Director/Professional

An individual who recommends or purchases the security for their company, corporation or institution (i.e. Security Directors/Managers). $182.00 N/A

Private Guard ServicesThose companies who provide private guard response or guardservices, but do not provide monitoring or installing services. $668.00 $425.00

Non-Security Associates Any individuals or organizations that do not fall into any of thecategories listed above and have an interest in the industry (i.e.insurance).

$425.00 $305.00

If your company falls into more than one category, you must pay the higher rate that applies to your company.Membership dues will be capped at$3647.00 regardless of number of member locations.

Member Dues:

+ GST (5%):

Subtotal:

Quebec Only + QST (7.5%):

TOTAL:

$ __________

$ __________

$ __________

$ __________ QST #: 10155641 $ __________ GST #: R1217874

METHOD OF PAYMENT(Payment must accompany application) :

I would like to pay the full amount now

Cheque

Monthly Credit Card Payment($3.00 monthly administration fee.)

Visa MasterCard American Express

Card Number: _________________________________ Name of Cardholder: ____________________________

Exp. Date: ____________ Signature: _______________

For future billing purposes, please send invoices to:

The location listed on this applicationThe Head Office/Billing location listed below:

__________________________________________________

Attention: __________________________________________

AUTHORIZATIONIn making application to the Canadian Security Association, I acknowledge that our company will abide by the CANASAconstitution, bylaws and standards established by the membership.Company: ________________________________________________ Name: ____________________________________

Signature: ________________________________________________ Date of Application: __________________________

Revised Aug 1, 2008

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Please fax both sides of this form to CANASA at

(905) 513-0624Questions Phone: (905)513-0622 or toll free in Canada 1-800-538-9919

Hard-Wired Systems

Home Automation

Home Theatre/Entertainment

HVAC

I.D. Systems

Intrusion Detection & Controls

Investigative Equipment

Lighting

Locks and/or Safes

Medical Alert Systems, Panic Buttons

Monitoring Equipment/Systems /Services

Outdoor Perimeter Protection

Personal Devices

Residential Systems

Satellite

System Integration

Systems for the Hearing Impaired

Wireless Systems

Other _________________________

_________________________________

_________________________________

FREEFREE Products & Services ListingProducts & Services ListingThis form will become an important part of your company record with CANASA.

Information received will be used to advertise your company in CANASA’sAnnual Membership Directory, Web Site and in Security Canada Show Guides (if you exhibit).

We may include your information in any additional printed material where we advertise our members!

Because products & services can vary with each office/location, we ask that you submit a listing for EACH of your company locations belonging to CANASA.

Company: __________________________________________________________________________________________________________________

Primary CANASA Contact: Name & Title __________________________________________________________________________________________

Address _____________________________________________ City ______________________ Prov./State __________ Country ______________

Phone:_______________________________ Fax: ______________________________ E-mail ______________________________________________

Web site __________________________________________ Number of Employees at this location ___________ Date Submitted __________________

Please include a 50-word summary of your company’s operations:

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

Manufacturers,Distributors andRepresentatives

please fill out reverse

We install:(check all that apply)

Access Control Systems

Carbon Monoxide Detection Systems

CCTV

Commercial Systems

Computer & Communications Security

Detection Systems

EAS:Electronic Article Surveillance

Film Surveillance

Financial Systems

Fire Protection/Detection Systems

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Fax this form back to 905 •513 •0624

Questions Phone: 905 •513 •0622 or toll free in Canada 1 •800 •538 •9919

We manufactureDistributeRepresent(please check all that apply)

CLOSED CIRCUIT TELEVISIONSURVEILLANCE

CCTV SystemsCables & ConnectorsCameras

ConsolesHousings, Enclosures, Mounting EquipmentImage TubesLensesMonitorsMultiplexersPan/Tilt MechanismsScannersSwitchersTime Lapse VCRVideo EncryptionVideo Monitoring EquipmentVideo Motion DetectorsVideo PrintersVideo IntercomVideo Transmission Equipment

COMPUTER &COMMUNICATIONS SECURITY

ACCESS CONTROL EQUIPMENTBiometricCard AccessCards/Card ReadersComputer Activated Key LockingDigital KeypadDoor Openers/Closers/ ElectromagnetsEntry/Exit ScreeningSmart CardStand Alone Access TrackingTelephone Entry Control

EAS – ELECTRONIC ARTICLESURVEILLANCE

Security Mirrors & Mirrored Enclosures

Shoplifting Control ProductsWandering Patient Systems

FILM SURVEILLANCEFilm CamerasLenses

FIRE/GAS PROTECTION/DETECTION/ CONTROLS

Activating DevicesControl PanelsDerived Channel Subscriber Terminal UnitsDoor Control/Panic HardwareExtinguishers/Extinguishing AgentsFire DetectorsIndicators, Audible/AVSmoke Detectors/SensorsGas/Carbon Monoxide DetectorsSprinkler System SupervisionGUARD/ PATROL SERVICES/SUPPLIES

IDENTIFICATION SYSTEMS& SUPPLIES

Employee & Visitor BadgesHigh Security ID EquipmentInstant Photo ID EquipmentPhoto Identification Card Equip.Video ID Equipment

INDUSTRY RESOURCES/ SERVICESAlarm Co. AutomationAccounting/BillingSoftwareCellular Phone ServiceCertification/Testing/QualityRegistration/Standards DevelopmentComputer Consulting/ServicesConsulting (industry)Contract InstallationDecals & SignsInsurancePublicationsResearchRisk ManagementTraining/EducationOther: ______________________

INSTALLATION TOOLS,SUPPLIES & ACCESSORIES

INSTALLED RESIDENTIAL SYSTEMSCondominium Suite AlarmsCustom Installed Sound & VideoSystemsHome Automation SystemsULC Approved/SupervisedResidential Systems

INTRUSION DETECTION &CONTROLS

Alarm Screens & Laced PanelsAudio/Visual VerificationBatteries/Power SuppliesCapacitance/Proximity SensorsControls/Communicators/Keypads/ DialersDerived Channel ReceiversDerived Channel Subscriber Terminal UnitsDual Technology Sensors (MW & PIR)DVACs Control PanelsGlass Breakage SensorsGraphic DisplaysMagnetic Contacts/switchesPassive Infrared SensorsSafe and Vault SystemsStress SensorsWireless Alarm Equipment/ Systems

INVESTIGATIVE EQUIPMENT

LADDERS

LOCKS/SAFES/SUPPLIESElectric Locking Door HardwareKey Control/Mechanical Access SystemsKey Boxes/Lock BoxesLocksSafes

MONITORING EQUIPMENT/SYSTEMS/ SERVICESBuilding Automation SystemsCentral Station EquipmentCentral Station MonitoringEnergy Management SystemsFacilities Management SystemsProprietary Monitoring SystemsRemote Monitoring EquipmentRobotic Surveillance SensingSupervisory Services

OUTDOOR PERIMETER PROTECTIONFencesGate OperatorsOutdoor Intrusion Systems/ SensorsPerimeter Barriers/High Security GatesSecurity DoorsSecurity GlassSecurity LightingTurnstiles

SOUND & COMMUNICATIONSEQUIPMENT

Commercial Sound SystemsHome TheatreIntercom SystemsLoudspeakersMusic Intercom SystemsSirens/Siren DriversOther:________________________

SPECIAL PURPOSE PROTECTIONFilm Coatings & LaminatingGlass ProtectionIndustrial Process/Condition MonitorsLight Control Motion SensorsMedical Alert Systems, DedicatedPanic Buttons/Personal ProtectionDevices/ Holdup ButtonsPool AlarmsSecurity Window Bars

SYSTEM INTEGRATIONTRANSFORMERS

VEHICLE DETECTION

VEHICLE PROTECTION SYSTEMS

CABLE & MISCELLANEOUS HARDWARESecurity CableClamps and ClipsCoaxial Cable - CATV - CCTVCoiled CordsFastening DevicesFibre OpticsPlenum CableSpeaker Wire / Audio CableTelephone Wire / Voice & Data CableWire Assemblies

MISCELLANEOUS PRODUCTS/SERVICES

Central Vacuum SystemsOther (please make sure it is not listed).

________________________________

________________________________

________________________________

________________________________

Company___________________________

Contact ____________________________

Phone _____________________________

Fax _______________________________