Ceramic Tile Distributors Association - Membership: Application

MEMBERSHIP | BENEFITS | APPLICATION | BYLAWS

Membership > APPLICATION

Please print out and fax this application to CTDA at 630-790-3095.

Application for Membership in the Ceramic Tile Distributors Association is hereby made for (hereinafter called Applicant):

Full legal name of firm, corporation, partnership or other type of business:
Address:
City:	State:	Zip:	Country:
Website:	Phone:

Name of Principal Representative:
Job Title:	Years with Company:
Representative's e-mail address:

Date Established:	Type of Ownership: Individual Partnership Corporation
Total number of employees (including owners, officers, executives and relatives of such persons who work for the Applicant) of Applicant including those employed in and by its divisions, branches and/or subsidiary corporations:
If corporation, date and state of incorporation:	Parent warehouse total square feet:

If Applicant has branches, divisions, or subsidiary corporations, list their names and addresses: (List date and state of incorporation of all subsidiary corporations)
For Regular (Distributor) Members Only: List three major ceramic tile suppliers below:
For Associate (Manufacturer) Members Only: Describe the type of ceramic tile and/or related products currently being supplied to ceramic tile wholesale distributors:
For Allied Members Only: Describe the services and the products, other than ceramic tile and related products, that you currently supply to ceramic tile wholesale distributors for use in their businesses and not normally for resale:

Please circle the appropriate membership type below. Click here for descirptions of membership types.

ANNUAL DUES
Regular Member	$600
Associate Member (less than $10 million annual sales)	$600
Associate Member (more than $10 million annual sales)	$1100
Allied Company	$600
Independent Agents (3 or less employees)	$200
Branch Listing & Service Fee (per location)	$100

Enclose check in U.S. funds, payable to CTDA or list credit card number and expiration date below to be submitted via e-mail. Wire transfers can be made by foreign members by contacting CTDA for routing information.

Select:
Credit Card No.:
Expiration (mm/yy):

Applicant states that it has read and understands the provisions of the CTDA Bylaws, qualifies for membership in CTDA and desires to be considered for such membership. Therefore, in consideration of approval by CTDA's Board of Directors of this application for membership, the undersigned applicant agrees to abide by all provisions of the CTDA Bylaws applicable to it and to pay all applicable CTDA dues and assessments when due and payable.
Signature of Applicant:

PRINT AND MAIL/FAX COMPLETED APPLICATION WITH PAYMENT TO:

CTDA
800 Roosevelt Road
Bldg. C, Suite 312
Glen Ellyn, IL 60137 USA

Phone: (630) 545-9415
Fax: (630) 790-3095

A CTDA REPRESENTATIVE WILL CONTACT YOU AFTER THE APPLICATION HAS BEEN APPROVED.