Franchise Support Service/Supplier Membership Renewal Declaration –2022-2023 Online Payment

2023/2024 Franchise Support Service/Supplier
Membership Renewal Declaration (Online Payment Form)

This renewal is for the membership year that spans November 1, 2023, to October 31, 2024.

CFA membership dues are based on the number of brands you have in membership. All money quoted below is in Canadian Dollars. Upon completion of the renewal form, a representative from the CFA will provide you with a confirmation email acknowledging your renewal.

Renewal Form and Payment Due: October 31, 2023

Supplier Membership Renewal Payment – 2023/2024

Membership Renewal Declaration – 2023/2024

Company Information

Please indicate all brands associated to your company that are renewing. If you require more space, if needed, please add additional brands.
Company Name **
Province**
Number of Brands in Membership **
Advocacy Pledge (optional)

The CFA leads the charge in educating government about the importance of franchising in Canada. Pledge your support so the CFA can remain an effective public policy advocate for franchising through a donation to CFA’s Advocacy Fund.

Advocacy Donor

$365 – $499

Advocacy Supporter

$500 – $999

Advocacy Leader

$1,000 – $4,999

Advocacy Champion

$5,000+
Pledge
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Please Answer the Following:

Has the renewing franchise system, or any predecessor, or any major shareholder (10% or more), director, officer or general partner of the franchise system having day- to-day management responsibilities related to the franchise:
Been adjudged or voluntarily become bankrupt; reorganized due to insolvency; taken the benefit of any statute for the relief of bankruptcy or insolvent debtors; or become subject to any pending bankruptcy, insolvency or reorganization proceeding? **
Been adjudged or voluntarily become bankrupt; reorganized due to insolvency; taken the benefit of any statute for the relief of bankruptcy or insolvent debtors; or become subject to any pending bankruptcy, insolvency or reorganization proceeding? *
- Yes
- No
Please Provide Details **
Had any conviction for an indictable offence under the Criminal Code of Canada, arising within the last seven (7) years, which remains outstanding? **
Had any conviction for an indictable offence under the Criminal Code of Canada, arising within the last seven (7) years, which remains outstanding? *
- Yes
- No
Please Provide Details **
Payment Information
Annual Dues

Price:
$ 0.00 CAD
Remove Extra Annual Dues

Price:
$ 0.00 CAD
Applicable Taxes

Price:
$ 0.00 CAD
Applicable Taxes

Price:
$ 0.00 CAD
Applicable Taxes

Price:
$ 0.00 CAD
Advocacy Pledge

Price:
$ 0.00 CAD
Remove Extra Advocacy Pledge

Price:
$ 0.00 CAD
Total
$ 0.00 CAD
Credit Card **

Card Details

Cardholder Name
Declaration & Acknowledgment

My signature below acknowledges, on behalf of my organization, that the information given is true, that the organization I represent endorses and subscribes to the Canadian Franchise Association’s CFA Code of Ethics and that any failure to do so may result in suspension of membership privileges or termination of membership without refund of dues paid. By checking the “Agreement/Signature” I authorize the above.
Authorized Signing Officer **
Title **
Email **
Hidden

Date **

MM slash DD slash YYYY
Agreement & Signature of Signing Officer **
- Agreement & Signature of Signing Officer *

Questions regarding invoicing, payments, or finance related matters please forward your inquiries to invoicing@cfa.ca. For any other general questions please send them to Stephen Symonds, Senior Coordinator, Member Programs at ssymonds@cfa.ca.

Members portal

2023/2024 Franchise Support Service/SupplierMembership Renewal Declaration (Online Payment Form)

Supplier Membership Renewal Payment – 2023/2024

2023/2024 Franchise Support Service/Supplier
Membership Renewal Declaration (Online Payment Form)