APPLICATION FORM BUSINESS MEMBER · 2019-05-22 · APPLICATION FORM BUSINESS MEMBER Revised:...
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APPLICATION FORM BUSINESS MEMBER Revised: 10/2017 OIMP VISION: Provide leadership for Ontario’s meat and poultry industry by fostering innovation, promoting food safety and integrity and recognizing excellence. OIMP MISSION: Strengthen Ontario’s meat and poultry industry by working with stakeholders, responding to challenges and identifying opportunities on behalf of the membership. Company Name: ________________________________________________________________________ Address: _______________________________________________________________________________ City: _______________________________________________________ Postal Code: _______________ Mailing Address (if different from above): ___________________________________________________________________________ City: _______________________________________________________ Postal Code:_____________________________________ Phone: _____________________________________________________ Fax: ____________________________________________ Toll Free: ___________________________________________________ Email: __________________________________________ Primary Contact: Name: ____________________________________________________________ Title: _______________________________________________ Phone: ___________________________ Cell: ____________________________ Email:_______________________________________________ As a member in good standing of the Ontario Independent Meat Processors Association, I subscribe to the “Code of Conduct” as a condition of membership. Members shall; promote and foster fair trade practices in the best interests of consumers, members, suppliers, and the meat processing industry; shall maintain high standards to fully protect product safety, quality, and integrity; and shall comply with regulations and standards, as applicable to the goods and services they offer. Signature: _______________________________________________________________ Date: _______________________________ What prompted you to join? Collective Voice Member Discounts Consumer Outreach Networking Government Advocacy Technical Support Marketing Support Training Resources Referred by: ___________________________________ Other (specify): ___________________________________ Number of Employees: Dues HST Total 1 to 9 Employees $675.00 $87.75 $762.75 Cheque Enclosed (payable to the Ontario Independent Meat Processors) 10 to 19 Employees $835.00 $108.55 $943.55 Charge to my: VISA MasterCard Expiry Date: 20+ Employees $1,200.00 $156.00 $1,356.00 Card #: Valid for One Year from Date Received HST (# 121262919) Cardholder Name: Electronic funds transfers and E-Transfers - Call for deposit info Signature: Membership is subject to approval by the OIMP Board of Directors. Membership in the Association may be terminated at the request, in writing, of the member; when a member fails to be current with membership dues; member declares bankruptcy or dissolution of the partnership, corporation or business entity; if conduct of the member is deemed by the Board to be detrimental to the interests of the Association. An aggrieved member shall have the right of appeal to the Board of Directors. Membership fees will not be refunded in whole or in part. OIMP values the privacy of its members. All information collected is done so in accordance with our Privacy Policy. Email addresses provided on this form act as your consent to receive electronic communications from OIMP. You may request to be removed from our lists at anytime. Additional Company Contacts: Secondary _______________________________________________ Email: ___________________________________________________ Regulatory _______________________________________________ Email: ___________________________________________________ Accounts Payable _______________________________________________ Email: ___________________________________________________ Sales/Marketing _______________________________________________ Email: ___________________________________________________ Human Resources _______________________________________________ Email: ___________________________________________________
Transcript of APPLICATION FORM BUSINESS MEMBER · 2019-05-22 · APPLICATION FORM BUSINESS MEMBER Revised:...
APPLICATION FORMBUSINESS MEMBER
Revised: 10/2017
OIMP VISION: Provide leadership for Ontario’s meat and poultry industry by fostering innovation, promoting food safety and integrity and recognizing excellence.
OIMP MISSION: Strengthen Ontario’s meat and poultry industry by working with stakeholders, responding to challenges and identifying opportunities on behalf of the membership.
Company Name: ________________________________________________________________________
Address: _______________________________________________________________________________
City: _______________________________________________________ Postal Code: _______________
Mailing Address (if different from above): ___________________________________________________________________________
City: _______________________________________________________ Postal Code:_____________________________________
Phone: _____________________________________________________ Fax: ____________________________________________
Toll Free: ___________________________________________________ Email: __________________________________________
Primary Contact:
Name: ____________________________________________________________ Title: _______________________________________________
Phone: ___________________________ Cell: ____________________________ Email:_______________________________________________
As a member in good standing of the Ontario Independent Meat Processors Association, I subscribe to the “Code of Conduct” as a condition of membership. Members shall; promote and foster fair trade practices in the best interests of consumers, members, suppliers, and the meat processing industry; shall maintain high standards to fully protect product safety, quality, and integrity; and shall comply with regulations and standards, as applicable to the goods and services they offer.
Signature: _______________________________________________________________ Date: _______________________________
What prompted you to join?
Collective Voice Member Discounts
Consumer Outreach Networking
Government Advocacy Technical Support
Marketing Support Training Resources
Referred by: ___________________________________ Other (specify): ___________________________________
Number of Employees: Dues HST Total 1 to 9 Employees $675.00 $87.75 $762.75 Cheque Enclosed (payable to the Ontario Independent Meat Processors)
10 to 19 Employees $835.00 $108.55 $943.55 Charge to my: VISA MasterCard Expiry Date: 20+ Employees $1,200.00 $156.00 $1,356.00 Card #: Valid for One Year from Date Received HST (# 121262919) Cardholder Name: Electronic funds transfers and E-Transfers - Call for deposit info Signature:
Membership is subject to approval by the OIMP Board of Directors. Membership in the Association may be terminated at the request, in writing, of the member; when a member fails to be current with membership dues; member declares bankruptcy or dissolution of the partnership, corporation or business entity; if conduct of the member is deemed by the Board to be detrimental to the interests of the Association. An aggrieved member shall have the right of appeal to the Board of Directors. Membership fees will not be refunded in whole or in part. OIMP values the privacy of its members. All information collected is done so in accordance with our Privacy Policy. Email addresses provided on this form act as your consent to receive electronic communications from OIMP. You may request to be removed from our lists at anytime.
Additional Company Contacts:
Secondary _______________________________________________ Email: ___________________________________________________
Regulatory _______________________________________________ Email: ___________________________________________________
Accounts Payable _______________________________________________ Email: ___________________________________________________
Sales/Marketing _______________________________________________ Email: ___________________________________________________
Human Resources _______________________________________________ Email: ___________________________________________________
52 Royal Rd, Unit B-1, Guelph, ON N1H 1G3 | | [email protected] | oimp.caP: (519) 763-4558 F: (519) 763-4164
BUSINESS PROFILE FORM
Square Footage: _______________ Number of Employees on Payroll: _______________ Year Established: ___________________
Sales Range: Less than $250k $250k - $500k $500k - $1M $1M - $2.5M $2.5M - $5M Over $5M
*Square footage, number of employees and the sales range will not be made public.*
Inspection: Municipal Provincial Federal Inspection #: _______________________________________
Please select all that apply:
Product Line: BBQ Hog Beef Bison/Buffalo Deer/Elk Goat Lamb Pork Veal Wild Boar Wild Game
Capon Chicken Cornish Hen Duck Goose Guinea Fowl Pheasant Pigeon Quail Rabbit Turkey
Fish/Seafood Pet Food
Markets Served: Catering Custom Farmers’ Market Food Service Online
On-Site Retail: Deli Counter Fresh Counter Frozen Section Groceries Beer/Wine
Ethnic Focus: Canadian German Korean South African
Caribbean Greek Mediterranean Spanish
Chinese Hispanic Polish Ukrainian
Croatian Hungarian Portuguese Vietnamese
Dutch Indian Romanian
European Italian Russian
Specialty Markets:
Gluten Free Feed Claim Halal Health Claim Kosher Natural
Co-Pack Wholesale
French Jamaican Scottish
Organic Raised Without
In order to benefit from OIMP’s social media strategy, please provide the following social networks:
Website: ___________________________________________________________ Instagram: ___________________________________________
Facebook: __________________________________________________________ Twitter: @ _______________________________________
Business Description (max 50 words):
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Members Supporting Members: Please list your meat product suppliers:
_____________________________________________________________________________________________________________
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Do you have additional retail locations and would like them on our consumer website, ontariomeatandpoultry.ca:
No Yes, if yes we will contact you for further information
OIMP respects the privacy of our members and understand that some information we hold may contain private personal information. Personal information collected is used solely for the purposes of conducting business and is collected in accordance with our Privacy Policy. Please contact the office should you wish to see a copy of the Policy.
