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CIFFA - Canadian International Freight Forwarders Association

Associate Membership Application

This firm hereby applies for the Associate Membership in CIFFA, and requests that the persons listed hereafter as its representatives.

If admitted, the firm and its representatives will be governed by the present and future By-Laws of the Association and undertake to pay such fees as may be properly authorized.

You can download and fill out the application below, or fill out and complete the online application form.

Download Associate Membership Application Form

Required Fields are denoted in red

Company Information

Name of Company:
Type of business:

Head Office

Address 1:
Address 2:
City:
Province:
Postal Code:
Tel:
Fax:
Website Address:
Email Address:

Branch Offices

No. Of Branch Offices

Please Enter Branch Office Information

Number of Employees

No. Of Employees:

Information about the applicant company (to determine Class of Membership according to the By-Laws)

President:
Vice-President:
Secretary:
Treasurer:

Officers for the Company

Official sending in the application:
Title of Official:
Each firm may name two representatives, a designated and an alternate representative. Representatives can only be changed by a member firm with the approval of the Association.
Designated Firm Representative:
Alternate Representative:
Must be Proposed By a CIFFA Regular Member:
Email address:
Must be Seconded By a CIFFA Regular Member:
Email address:

CIFFA Member

Please note that the application for membership must be supported by two current CIFFA Regular members of good standing. The companies names appearing above will be contacted to confirm their support of your application. This application will not be processed or accepted before this confirmation.

Please check off the appropriate Regionall office to which you would like this application to apply to:

Western Division
- Alberta - British Columbia
- Northweset Territories
- Nunavut - Yukon
- Saskatchewan

Central Division
- Kingston, West to the Lakehead
- Manitoba

Eastern Division

- Kingston, East to Newfoundland

Regional Chair Contact Information:

Central Region / Région Du Centre	Eastern Region / Région De L'Est
Mr. Paul Glionna, Chair Tel. (905) 882-4880 Email: pglionna@universallogistics.ca	Ms. Jennifer Kennedy , Chair Tel. (514) 633-8222 E-mail: jennifer.kennedy@cevalogistics.com
Western Region / Région De L'Ouest
Mr. Paul Courtney, Chair Tel. (604) 684-7505 E-mail: paul@courtney.ca

Application is incomplete until receipt of cheque. Make cheque payable to CIFFA National, 480 - 170 Attwell Drive, Toronto, Ontario M9W 5Z5

Effective May 19, 2004
Annual Membership Fee $625.00
Subject to applicable tax(es)

Applicant Firm:

Signature of Official:

Date:

For questions regarding CIFFA's policies and procedures, please contact admin@ciffa.com. See our legal and privacy statements.
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kennedy@cevalogistics.com

Central Region / Région Du Centre

Eastern Region / Région De L'Est

Western Region / Région De L'Ouest