Membership Renewal – STACOUNCIL.CA

STAC APPLICATION/ CWTA ASSOCIATE 2019/2020

ANNUAL CERTIFICATION FORM

The Structure Tower and Antenna Council (STAC) is administered by the Canadian Wireless Telecommunications Association (CWTA). Companies that join STAC also gain the credentials and privileges of a CWTA Associate, as defined in the association’s bylaws.

Associates shall be limited to persons¹ who (a) are qualified to become Members; (b) do not wish to become Members; and (c) have applied to the Board of Directors to become, and who have been accepted by the Board of Directors as, Associates of the Corporation.
¹ Person includes a corporation, a subsidiary or division thereof, a partnership, joint venture, an individual or other entity as the context may require.
Company Information
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Prime Representative
Name*
First Last
Title*
Phone*
Email*
Consent*
I consent to my basic coordinates, as above, to be included on the “STAC Prime List” and grant permission for STAC to share that information with other Prime Representatives*
Alternate Representative
Name
First Last
Title
Phone
Email
Marketing and Communications Contact
Name
First Last
Title
Phone
Email
Accounting Contact
Name
First Last
Title
Phone
Email
Primary Safety Representative
Name
First Last
Title
Phone
Email
Consent
I consent to the basic coordinates of my company's Primary Safety Representative, as above, to be included on the "STAC Safety Associates List" and grant permission for STAC to share that information with other STAC member companies and their personnel. Note that this person can be the same as the Prime Representative.
Brief Company Profile
Company Profile
Fee Schedule
Companies with:*
- 5 or less employees* ($1,500)
- Supplier members ($1,500)
- 6 - 20 employees* ($2,500)
- 21 - 100 employees* ($4,000)
- 101 - 250 employees* ($5,000)
- 250+ employees* ($6,000)
*Employees in the communications and tower industries
My company has 20 or less employees and qualifies for the 15% COVID-19 Rate Reduction
- Yes
Annual fees based on the schedule above:*
(plus applicable GST/HST)
Annual fees with COVID-19 Rate Reduction*
(plus applicable GST/HST)
Signature*
Date*
Date Format: MM slash DD slash YYYY
The Structure, Tower and Antenna Council (STAC) and the Canadian Wireless Telecommunications Association (CWTA) use the information provided above to process the Associate’s registration.

For further information on STAC please contact:
Nicholas Kyonka ǀ Program Director - Structure, Tower and Antenna Council (STAC) Canadian Wireless Telecommunications Association (CWTA) 80 Elgin Street, Suite 300, Ottawa, ON K1P 6R2 (613) 233-4888 x227 ǀ Fax: (613) 233-2032 ǀ [email protected] ǀ stacouncil.ca ǀ conseilspa.ca

STAC APPLICATION/ CWTA ASSOCIATE 2019/2020

Company Information

Prime Representative

Alternate Representative

Marketing and Communications Contact

Accounting Contact

Primary Safety Representative

Brief Company Profile

Fee Schedule