AIBQ - Renewal

Member Information

First name *

Last name *

Membership number *

Date of birth *

Address 1 *

Address 2

City *

Province *

ZIP code *

Membership title *

Email *

Website

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? *

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) *

Renewal 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 renewal and you will be redirected to the home page.

First name : {{ formRenew[0].prenom }}

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

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

Membership number : {{ formRenew[0].noMembre }}

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

Membership title : {{ formRenew[0].titreMembre }}

Email : {{ formRenew[0].courriel }}

Website : {{ formRenew[0].site }}

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

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

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

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

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

Desired regions : Abitibi-Témiscamingue Bas-St-Laurent Capitale nationale Centre du Québec Chaudière-Appalaches Côte-Nord Estrie Gaspésie-Iles-de-la-Madeleine Lanaudière Laurentides Laval Mauricie Montérégie Montréal Nord du Québec Outaouais Saguenay-Lac-St-Jean

Are you a 'Thermograph certified' inspector?

Are you a member of another association?

{{ formRenew[0].membreAutres }}, {{ formRenew[0].autreAssociation }}

Are you a member of a professional order?

{{ formRenew[0].membreOrdre }}, {{ formRenew[0].autreOrdre }}

Have you been found guilty by a court?

{{ formRenew[0].coupableTribunal }}, {{ formRenew[0].infractionTribunal }}

Infraction to a code of conduct?

{{ formRenew[0].coupableDeontologie }}, {{ formRenew[0].infractionDeontologie }}

Name on the card

Card number

Expiration date (MM/YY)

Security code (CVV)

Price for regions :

{{ coutRegionRenew }}$

Renewal price :

{{ formRenew[0].prix }}$

Subtotal :

{{ sousTotalRenew }}$

GST :
8759909731

{{ montantTPSRenew }}$

QST :
1018764578

{{ montantTVQRenew }}$

Total :

{{ totalRenew }}$

Edit my answers

Renewal completed

Thank you! Your membership renewal has been successfully completed. You will receive a confirmation email shortly.

For more information, please contact us.

Back to homepage

RENEWAL

Renewal form

Renewal summary

Renewal completed