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ADS Application

Contact Information

   
   
Gender  Male
 Female
 Other
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Alternate Contact Information

Company Listing:
 
 
 
 
Type of Business  Corporation  
 Not-for-Profit  
 Partnership  
 Sole Proprietorship  
 Other  
Date Business Registered
   
   

Identification of Officers

Please provide the names of the owner and president / chief executive officer (CEO) of the company.


Have either of these individuals ever been found bankrupt or insolvent?  Y    N
Has the business entity ever been found bankrupt or insolvent?  Y    N

You must provide a Criminal Record Check and a Credit Report for the two most senior executive officers named above.

Proof of Insurance

You must provide proof of the following insurance.

Privacy Information

 Check  to indicate you have read and agree to the ADS Code of Conduct
 Check  to indicate you have read and agree to the Release and Indemnity Agreement - Tour Activities
 Check  to indicate you have read and agree to the Release of Claims and Indemnity Agreement in Respect of the Application
 I consent  to TIAC's acknowledgment and promotion of my business/organization profile on social media.
Do you consent to receive email communications from us? (Your choices can be amended via your Member Profile page.)  Y    N
 I  am the Responsible Officer and I hereby certify that to the best of my knowledge, all of the above information is complete, truthful and accurate
Do you give TIAC consent to publish your address in conference lists? We will occasionally make public a list of those attendees of TIAC-organized industry conferences and events. By checking this box, you consent to our publishing your company/organization's name in these reports.  Y    N

Mailing Lists

Please select the areas of interest for which you would like to receive occasional email from us.
 General Communications  
 TIAC Talk  
 News You Can Use  

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