Waiver of Dues Program

Membership Number *

First Name *

Last Name *

Street Number *

Street *

City *

Province *

Postal Code *

Phone *

Email *

Requirements * I am currently unemployed, and have been for a period of at least 4 consecutive months. I am currently actively seeking employment. I am not acting as a consultant or otherwise employed (full or part-time) or engaged in full-time studies. I am currently on a leave of absence due to illness or disability.

I understand that I can participate in the Waiver of Dues Program, and that my CBA dues may be waived for a total of up to one year. During that period, I will be billed for my membership dues every four (4) months. I may continue to participate in the Waiver of Dues Program by notifying CBA Member Services of my continued status of “Unemployed”. * I agree that I will notify the CBA immediately upon my re-employment.

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