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It is important for us to have accurate and most current information for you and your company on file. This will ensure that you are receiving our industry updates and information regarding educational opportunities and social/networking events. Please complete the form below if your information has recently changed.

Change Of Information Form

* Indicates required field

Your Name *

First

Last

Your Email *

Your position w/company *

Company name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Land Line Tel. number *

Fax Number *

Mobile Number *

General Company Email Box *

We sell *

Carpet Resilient Hardwood Laminate Cork Bamboo

Our market is *

Residential Commercial Other

Do you have a showroom *

Yes No Mobile showroom

Our staff *

1-4 5-10 10-30 30+

# years in business *

Type of business *

Retailer / Dealer Distributor Manufacturer Sub Contractor General Contractor Other (describe below)

I/we are interested in representation on the BCFCA Board of Directors *

Interested in joining Not interested Would like to learn more

Untitled *

# of locations *

0 - Home office 1 location 2 locations 3 locations 4 or more locations

List the branches and their addresses, that you wish to include in the membership *

GST # *

Liability insurance provider and policy number *

Work safe BC identification number *

Your reason for joining *

I agree to abide by the constitution of the B.C. Floor Covering Association and to strive for the betterment of our industry. A member Firm also agrees to binding arbitration regarding B.C.F.C.A Grievance procedures.

Signed *

Date (M/D/Y) *

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