AIBQ - Membership

Membership category :

Regular member Student

Informations

First name *

Last name *

Date of birth *

Address 1 *

Address 2

City *

Province *

ZIP code *

Email *

Telephone *

Extension

Cell phone

Company name

High school *

Program end date *

Company name

Are you a 'Thermograph certified' inspector? *

Yes No

Are you a member of another association? *

Yes No

Wich one? *

Are you a member of a professional order? *

Yes No

Wich one? *

Have you been found guilty by a court? *
In the last 5 years, with the exception of an offense related to the Highway Safety Code and municipal by-laws, have you, or your joint-stock company, if you hold an authorization to operate in a joint-stock company, been convicted by a court, in Canada or elsewhere, of a criminal offense under a provincial or federal law or any other applicable law or have you found yourself guilty of such an offense?

Yes No

Wich one? *

Infraction to a code of conduct? *

Yes No

Wich one? *

Documents to download

Curriculum Vitae PDF

Add a diploma (max 3) PDF, JPEG, PNG

Proof that you are currently taking building inspection courses at a recognized institution * PDF, JPEG, PNG

Passport-size photo
(photo specifications) JPEG, PNG

Payment Information

Please enter your payment information. You will be able to review your information in the next step before proceeding to payment.

Name on the card *

Card number * * Do not insert spaces.

Expiration date (MM/YY) *

Security code (CVV) *

Membership summary

If any information is incorrect, please correct it by clicking on the button Edit my answers.

Once the payment is validated, you will receive an email confirming your membership and you will be redirected to the home page.

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Last name : {{ formAdhesion[0].nom }}

Date of birth : {{ formAdhesion[0].naissanceAnnee }}-{{ formAdhesion[0].naissanceMois }}-{{ formAdhesion[0].naissanceJour }}

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Cell phone : {{ formAdhesion[0].cellulaire }}

Company name : {{ formAdhesion[0].raisonSociale }}

High school : {{ formAdhesion[0].college }}

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Address 1 : {{ formAdhesion[0].adresse1 }}

Address 2 : {{ formAdhesion[0].adresse2 }}

City : {{ formAdhesion[0].ville }}

Province : {{ formAdhesion[0].province }}

ZIP code : {{ formAdhesion[0].codePostal }}

Curriculum Vitae : {{ fichier }}

Diploma(s) : {{ formAdhesion[0].diplome }}
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Proof that you are currently taking building inspection courses at a recognized institution : {{ fichier }}

Passport-size photo : {{ fichier }}

Are you a 'Thermograph certified' inspector?

Are you a member of another association?

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Are you a member of a professional order?

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Have you been found guilty by a court?

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Infraction to a code of conduct?

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Name on the card

Card number

Expiration date (MM/YY)

Security code (CVV)

Membership price :

{{ formAdhesion[0].prix }}$

Subtotal :

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GST :
8759909731

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QST :
1018764578

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Total :

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Edit my answers

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MEMBERSHIP

Membership form

Membership summary

Membership completed