Regular Member application form

MEMBERSHIP RATES:

Student member rate $25.00 per year

New members $150.00 for first year, $200.00 for following years

Existing members $200.00 per year

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NOVA SCOTIA HOME AND BUILDING DESIGNERS ASSOCIATION

Regular designer member
APPLICATION and DATABASE                                    June 2008

NAME:                                                                           DATE: 

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ADDRESS: 

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CITY:                                                                             PROVINCE: 

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PHONE (BUS):                                                             (BUS): 

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FAX:                                                                               EMAIL: 

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WEBPAGE:
CONTACT PERSON:

POSITION:

TECHNICAL REP: 

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EMPLOYMENT:
SELF-EMPLOYED:                 (OR)                  EMPLOYER:

NUMBER OF YEARS IN THE DESIGN FIELD:                    Where?

DESIGN EXPERIENCE (Brief Resume).

EDUCATION: (FORMAL EDUCATION)

High School Diploma:

Vocational School:

Community College:

University Degrees:

Others (specify):

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INFORMAL EDUCATION: (experiential, apprenticeship)

Workshops, Seminars taken that are related to the Design field:

Design Awards earned:

Related talents and areas of expertise:

MAIL THE COMPLETED APPLICATION FORM AND SEND A CHEQUE TO:

Nova Scotia Home and Building Designers Association
C/O 4590 Hwy#2 Wellington
Halifax, Nova Scotia
B2T 1B8

PLEASE MAKE CHEQUE OUT TO: NOVA SCOTIA HOME AND BUILDING DESIGNERS ASSOCIATION

For more information, please call:
Mark Pinhey (902) 861-4906 (fax) (902) 484-6654 or   send an email to the secretary: markhome@ns.sympatico.ca