06122017 Page 1 of 5

FRANCHISE SUPPORT SERVICE/SUPPLIER MEMBERSHIP APPLICATION

Franchise Support Service/Supplier (FSS/Supplier) membership is for a person or company engaged in providing products or services to franchise systems.

Our application form is a fillable PDF which you may fill out at your convenience. Please

complete the form in its entirety. This form provides an electronic signature option, which

is binding when selecting the indicated boxes; you are in fact “signing” the document.

When complete, please return your application via email (membership@cfa.ca) or fax (416-695-1950).

1. Completed Franchise Support Service/Supplier applications are reviewed by the CFA Membership Department, CFA’s

Board and/or Executive Committee. If a Director or Committee member is from a company in the same industry as

the applicant, they are excused from that part of the meeting.

2. A notice of the names of the applicants is sent to all CFA members in advance of the meeting.

3. If granted membership:

a. You will be entitled to identify yourself as a Franchise Support Service/Supplier Member of the Canadian

Franchise Association.

b. The first twelve (12) months are considered an Induction Year, which includes all rights and privileges, except

chairing CFA Committee. Any time during the Induction Year, CFA may repeat any part of the original application

process. At the end of the Induction Year, the CFA Board or Executive Committee will review the membership and

approve the applicant to Full Member status, provided the membership is in good standing.

4. If a membership is not granted, the application deposit is refunded to the applicant.

Members are permitted and encouraged to use the CFA member logo to identify themselves as members on all

marketing and trade information, websites, etc.

Membership includes:

Attendance at and member rates for CFA events and seminars (Note: Non-member attendance has some limitations)

Exclusive access to advertising in CFA’s media – Print and Web

Access to CFA’s Franchise Shows and CFA sponsorship opportunities, presentation & authorship opportunities

A full free listing on the CFA website, and listed as a member in the annual FranchiseCanada Directory and

FSS/Supplier Directory published at the beginning of each calendar year and distributed to CFA’s members and

prospective franchisees

The following documents are necessary for completing your application. Incomplete applications cannot be

processed – please ensure that you have enclosed all of the following documents with your application

submission:

Completed and signed application form with payment

Current marketing/sales brochure

Initialed CFA Code of Ethics

For more information or assistance with your application, please contact:

Membership Sales at membership@cfa.ca or call toll free to 800-665-4232, ext. 247

Member Benefits

Membership Application Process

By checking the box you con�rm that you have read, understood, endorse and subscribe to this Code of Ethics. Please Initial:

Revised March 19, 2007

Code of Ethics

06122017 Page 2 of 5

FRANCHISE SUPPORT SERVICE/SUPPLIER MEMBERSHIP APPLICATION

NOTE: If additional space is required for any response, please attach a separate page.

SECTION 1: APPLICANT INFORMATION Full Legal Company Name: _______________________________________________________________________

Trade/Brand Name: ____________________________________________________________________________

Head Office Street Address: ______________________________________________________________________

City:_______________________ Prov/State/Country:___________________________Postal/Zip: _____________

E-mail: ________________________________________ Phone: ____________________ Fax: ________________

Website: __________________________________Website for franchise info: _____________________________

Has the applicant previously held CFA membership? Yes No If “yes”, when?: ____________________

Official Designee to CFA: The Official Designee is the primary contact for membership renewals, member surveys, invitations to programs or major membership matters. This contact would also be entitled to take advantage of (or assign) the complimentary convention delegate registration we provide to new approved members in their first year.

First & Last Name: ___________________________________ Title: ______________________________________

Office Address: ________________________________________________________________________________

Phone: ____________________ Ext._______ Cell: __________________________ Fax: ______________________

E-mail: _______________________________________________________________________________________

Additional contacts from your company who would like to receive CFA communications:

1) Name: ______________________________________ Title: __________________________________________

E-mail: _____________________________________________________________________________________

2) Name: ______________________________________ Title: __________________________________________

E-mail: _____________________________________________________________________________________

Please tell us how you learned of CFA?

Referred by (Name/Company): ___________________________________________

Internet search

Contacted by CFA (Name/Department): ___________________________________________

Magazine/Newsletter/TV advertisement, please specify: ___________________________________________

Social/Business network, please specify: ___________________________________________

Other company’s website, please specify: ___________________________________________

What benefits are most important to you in joining CFA? ___________________________________________

06122017 Page 3 of 5

SECTION 2: BUSINESS & HISTORY Date when the applicant began operation: __________________ (m/y)

Date when the applicant began providing products/services to the franchise industry: __________________ (m/y)

Date when the applicant’s franchise group (if any) was established: __________________ (m/y)

Number of people who devote at least 50% of their time to franchising: __________________ (m/y)

Current and past involvement of applicant in franchise systems (if any): __________________ (m/y)

Please indicate the current number of offices/branches according to province/territory: (please attach list)

BC AB SK MB ON QC NB PEI NS NFLD YT NT NU

Is the applicant a member in good standing of franchise association of any other country(s)?

No Yes If “Yes”, please state the country(s): _____________________________________________

Please provide a brief description of the nature and history of the applicant’s business. (*Note: There is a 500 character limit. Also, this information will be included in your online/print listing. Please provide separately any sales/promotional material if applicable.)

SECTION 3: DIRECTORY LISTING INFORMATION CFA provides a free listing in the FranchiseCanada and FSS/Supplier Directories, both published annually and online at www.cfa.ca. Please tell us how you would like to appear in the listing

Please use the information provided in Section 1

Please use the following information in my public listing

Company: _____________________________________________________________________________________

Contact/Title: __________________________________________________________________________________

Address: ______________________________________________________________________________________

Phone: ____________________________________________ Fax: _______________________________________

Email: ____________________________________________ Website: ____________________________________

SECTION 4: INDUSTRY TYPE

Please select ONE of the categories for your listing in CFA’s online FSS/Supplier Directory on www.cfa.ca

Accountants

Advertising/Graphics

Alternative Dispute Resolution

Banks/Financial Services

Business Aids & Services

Computer/Software/Training

Education/Training/Coaching

Events & Conferences/Facilities

Executive Search

Franchise Consulting Services

Franchise Development

Insurance

Lawyers

Payroll/HR Services

Printers/Publishers/Publications

Security Systems & Services

Other

06122017 Page 4 of 5

SECTION 5: LEGAL MATTERS

1. Is the applicant registered or licensed in any jurisdiction by a competent licensing body to deal with the public in

any capacity? Yes No

If “YES”, please specify the body and jurisdiction below, then proceed to Section 6.

____________________________________________________________________________________________

If “NO”, please answer the following questions:

2. Has the applicant been refused registration or any licence, or has any registration or licence been suspended or cancelled, or is the applicant operating without any necessary registration or licence, in any jurisdiction?

Yes No

3. Has the applicant, any predecessor of the applicant, any major shareholder (10% or more), director, officer, or general partner of the applicant, having day-to-day management responsibilities:

a. Been adjudged or voluntarily become bankrupt; reorganized due to insolvency; taken the benefit of any statute for the relief of bankrupt or insolvent debtors; or, become subject to any pending bankruptcy,

insolvency or reorganization proceeding? Yes No

b. Had any conviction(s) for an indictable offence under the Criminal Code of Canada, within the last seven (7)

years, which remains outstanding? Yes No

*If you answered “Yes” to any of the questions in Section 5, please provide details below*

SECTION 6: AUTHORIZATION, DECLARATION AND ACKNOWLEDGMENT

By checking the “Agreement/Signature” box below, I authorize the following:

1. I represent and warrant to the CFA that I have authority to act on behalf of the applicant.

2. I declare that the information given on or pursuant to this application is true and complete and not misleading in any way.

3. I acknowledge on behalf of the applicant that in accordance with CFA bylaws, membership is the decision of the Board of Directors and at any time a member may be asked to provide such supporting information and documentation relative to its continuing as a member the Association may require.

4. I acknowledge, on behalf of the applicant, that if approved for membership, the initial twelve (12) months are considered an “Induction Year”, and that membership includes all rights and privileges, except the right to chair a CFA Committee. I also acknowledge that the CFA Board or Executive Committee will review the membership at the end of the Induction Year and will either approve the applicant for full membership or terminate the membership. I further acknowledge that at any time during the Induction Year, CFA may repeat any part of the original application process to inform the decision.

5. I confirm, on behalf of the applicant, that the applicant has read and understood, and endorses and subscribes to, the CFA Code of Ethics. I acknowledge, on behalf of the applicant, that any failure of a CFA member to comply with the Code of Ethics may result in suspension of membership privileges or in termination of membership, without refund of dues paid.

Agreement/Signature ______________________________________________ Name of Authorized Signing Authority _________________________________ ______________________________________________ Date Title ______________________________________________ email

Name of the Person who completed this form (if different from Authorized Signing Officer):

____________________________________________________________________________________________

06122017 Page 5 of 5

CFA 2017-18 Membership Dues Schedule FSS/Supplier

Effective June 2017, may be subject to change without notice

Franchise Support Service/Supplier (FSS/Supplier) membership is for a person/company engaged in providing products or services to franchise systems. Applicants that operate other Support Service organizations under the same corporate ownership or operate under different brands within the common ownership may apply for a membership that includes those organizations or brands.

TYPE OF FSS/SUPPLIER:

FSS/Supplier Single Brand

FSS/Supplier 2 Brands

(1 additional)

Annual Dues $2,650 $3,350

PAYMENT METHOD: APPLICABLE SALES TAX CHART Method of Payment: Credit Card Number:

GST/HST Registration Number: R122972920 VISA QST Registration Number: 1212953071 MASTERCARD Expiry:

BC, AB, MB, NU, NWT, SK, YK: 5% GST

ON: 13% HST = 13%

QC: 5% GST + 9.975% PST = 14.975%

NB, NS, PEI, NL: 15% HST = 15%

US/INT: 0%

AMEX

Cardholder Name: Please INVOICE me

CHEQUE to follow Signature:

Membership Dues: $

Applicable Taxes: $

Total: $

Return your completed application form and any supporting documents to the CFA Membership Department by:

E-mail: membership@cfa.ca Fax: 416-695-1950 Mail: 116-5399 Eglinton Ave W, Toronto, ON M9C 5K6 Questions? Contact Ruth Stuart Moore, CFA Membership Sales, at rstuartmoore@cfa.ca or call 416-695-2896 ext. 247