SUPPLIERPROCESSOR MEMBERSHIP FORM by Yearoveryear

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									              SUPPLIER/PROCESSOR MEMBERSHIP FORM
Please fill out this form and remit to the Aquaculture Association of Nova Scotia
with the appropriate payment.

NAME:

TITLE:

ADDRESS:        ____________________________________________________________

                ____________________________________________________________


PHONE                             FAX                        E-MAIL _            ____


MAIN AREA OF INTEREST:


DUES:
      Gross 2007 Sales                     Membership Dues                Your Choice
      (in Nova Scotia)                                                  (mark with an X)
Less than $50,000               $375 + HST (48.75) = $423.25
$50,000 - $499,999              $750 + HST (97.50) = $847.50
$500,000 - $999,999             $1,500 + HST (195.00) = $1,695.00
$1,000,000 - $1,499,999         $2,250 + HST (292.50) = $2,542.50
$1,500,000 - $1,999,999         $3,000 + HST (390.00) = $3,390.00
$2,000,000 - $2,499,999         $3,750 + HST (487.50) = $4,237.50
$2,500,000 - $2,999,999         $4,500 + HST (585.00) = $5,085.00
$3,000,000 - $4,999,999         $7,500 + HST (975.00) = $8,475.00
$5,000,000 and over             $10,000 + HST (1,300.00) = $11,300.00


Please make cheque/money order payable to: Aquaculture Association of Nova Scotia

Mail your completed form & cheque to:
       Aquaculture Association of Nova Scotia
       7075 Bayer’s Road, Suite 215
       Halifax, NS B3L 2C2
       Phone #: (902) 422-6234
       Fax #: (902) 422-6248
       Email: jpellyaans@eastlink.ca
       Website: www.aansonline.ca

*Please note we do not accept debit and credit cards.

                 THANK YOU FOR SUPPORTING THE AANS!

								
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