Canadian Laboratory Suppliers Association

Membership Application

If you would like more information on membership, please contact us at:

Canadian Laboratory Suppliers Association
525 Highland Road West, Suite 131
Kitchener, Ontario
N3M 5P4
Phone: (519) 579-7598
Fax: (519) 579-8134
Email: jhowes@clsassoc.com

Membership Application

It’s easy to join! Complete the application and return it to us!
Please tell us how you heard about us! Check all that apply:

Business Colleague Referral	Advertising
Other (Specify)

Name:

Company:

Title:

Address:

City:

Province:

Code:

Phone:

Fax:

Email:

Web site/URL:

Membership Guidelines
	Manufacturer or distribute to research, industrial life sciences, education and government laboratories. Principal business is stocking and resale of products made by other companies.
	Annual revenue not less than $500,000 annually.
	In business for two or more years.
	Have a valid website.
	Based on Executive Membership Approval.

Membership Qualifications (please check all that apply)
	Sell to research, industrial, life science, education and/or government laboratories.
	Principal business is manufacturer or laboratory products.
	Principal business is stocking and resale or products made by others.
	In business for more than two years. Please provide date year business was established: ex: mm/dd/yyyy

Quarterly Membership Fees.

Based on Sales Volume	(all membership fees include GST )
Under $5 million	$196.88
$5 million - $10 million	$525.00
more than $10 million	$853.13
Note: membership fees are payable quarterly beginning April 1st of each year and are pro-rated. Please make cheque payable to: