Membership Application Form 2009
Company name:
Representative's name:
Address:
City (Province):
Zip Code:
Web site:
Email:
Telephone:
Fax:
Description of goods and services:
Bottler member
:
(business figure)
Membership dues
:
#QST (7,5%): 1013162367
#GST (7%): 128134384
Amount included
0$ to 500,000$
375$ + taxes
500,000$ to 1,000,000$
500$ + taxes
1,000,000$ to 3,000,000$
750$ + taxes
3,000,000$ to 5,000,000$
1,000$ + taxes
5,000,000$ to 7,500,000$
1,250$ + taxes
7,500,000$ to 10,000,000$
1,500$ + taxes
10,000,000$ to 12,500,000$
1,750$ + taxes
12,500,000$ to 15,000,000$
2,000$ + taxes
15,000,000$ to 20,000,000$
2,500$ + taxes
20,000,000$ to 25,000,000$
3,000$ + taxes
25,000,000$ to 30,000,000$
3,500$ + taxes
30,000,000$ to 40,000,000$
4,500$ + taxes
40,000,000$ to 50,000,000$
5,500$ + taxes
50,000,000$ to 60,000,000$
6,500$ + taxes
60,000,000$ to 70,000,000$
7,500$ + taxes
70,000,000$ to 80,000,000$
8,500$ + taxes
80,000,000$ to 90,000,000$
9,500$ + taxes
900,000,000$ to 100,000,000$
10,500$ + taxes
100,000,000$ and over
11,500$ + taxes
