Auctioneers Association of Ontario Membership Application (Print Out and Return as Noted at Bottom)

PERSONAL NAME: ______________________________________________________________________________ BUSINESS NAME: ______________________________________________________________________________ ADDRESS: ______________________________________________________________________________ CITY: _____________________________ PROVINCE: ______________ POSTAL CODE: ____________ E-MAIL ADDRESS: _______________________________ WEB SITE ADDRESS: _____________________________ TELEPHONE NOS.: HOME: ( )_________________ BUSINESS: ( )__________________ FAX: ( )_________________ Please provide all of the following information. If you are an auction school graduate, please indicate year: ______ and school: _______________________________ Please indicate how many years you have been a practicing auctioneer. _____________________________________ Please indicate the municipalities, if any, in which you are licensed. ________________________________________ Please specify the types of auctions in which you specialize. ______________________________________________ If you are currently a member of another auction association, please specify. _________________________________ If a current member of this Association recruited you, please provide his/her name. ____________________________ Have you ever been convicted of a criminal offence for which you have not received a pardon? ____________________ Please provide references from one person from the following list who has known you for at least two years and who may be contacted: Minister of Religion, Bank Manager, Judge, Police Officer, Teacher, Lawyer, Doctor, Postmaster or Veterinarian. NAME: ______________________________________________ PROFESSION: _____________________________ ADDRESS: ______________________________________ CITY: ____________________ POSTAL: _____________ PHONE: __________________ FAX: __________________ E-MAIL: _______________________________________ SIGNATURE: ____________________________________________________ DATE: _________________________ Please provide the name of a member of the A.A.O. who may also be contacted as a reference. NAME: ___________________________________________ CITY: _______________________________________ PHONE: __________________ FAX: __________________ E-MAIL: _______________________________________ I hereby make application for membership to the Auctioneers Association of Ontario. If accepted I will abide by the By-laws, support the Objectives, comply with the Code of Ethics and Letters Patent of the Auctioneers Association of Ontario and pay the established dues as may be amended from time to time. Enclosed with my application is payment of my annual membership fee of $150.00 (or $100.00 for new graduates), either by cheque or credit card. If paying by credit card, I will provide my card number and expiry date in the space below. I will pay by [   ]CHEQUE [   ]MONEY ORDER [   ]VISA EXPIRY DATE (MM/YY): ____/____ •NUMBER: ________________________________ SIGNATURE: ________________________________________________ DATE: ___________________________ Please make cheque payable to and mail to: Auctioneers Association of Ontario c/o Ken McGregor • R.R.#6 • 30959 Wyatt Road • Strathroy, Ontario • N7G 3H7 Telephone (519) 232-4138 • Fax (519) 232-9166 • execdir@auctioneersassociation.com