ASSOCIATION OF PROFESSIONAL SECURITY

AGENCIES
Application for Membership
(Please type or print clearly)

Agency Name (Please show full name of Agency as it appears on your Incorporation Documents)
Street Address:
City/Municipality/Town:
Telephone No.
2nd Telephone No.
Date of Incorporation/Formation of Company:
Years Licensed with PSISA

Fax No.
Email Address:
Web Site:
www.

Postal Code

Agency Licence No.

Officers of the Company (Please enter N/A where applicable do not leave blanks)

Is your firm An Ontario Limited Corporation

A Partnership

A Canada Limited Corporation

A Sole Proprietorship

Applicant Statement: By signing this application, we acknowledge that we consent to a background investigation
of our Agency and that we will co-operate with the Membership Committee who will be required to visit your
premises prior to approval of the application. We further agree that acceptance as a Member of APSA requires
that we comply with the Associations Code of Ethics, Constitution and By-Laws. We also acknowledge and accept
that the Association executive shall determine our eligibility for Membership based solely upon the Conditions
of Membership, which we have read and understand.
Signature of Applicant
Date of Application

(Print name above)

Sponsorship Statement: The undersigned sponsors this application for Membership in the Association of
Professional Security Agencies. We are well aware of the applicants reputation and standing in the Industry and
we are confident that if a Membership is approved, the application agency will be a credit to APSA.
Name of Sponsoring Agency
Name of Agency Executive
Signature of Executive

Title
Title

(Please do not write in this space)

Membership Committee
Approval (Initial/Date)

Executive Committee
Approval (Initial/Date)

Invoice No.

Entry on Database
(Initial/Date)

Invoice Date
Invoice Amount

Return Application to:

The Association of Professional Security Agencies

Attention:
apsacanada@ymail.com

For the attention of Membership Committee Chair, APSA