Membership Application – Canadian Alternative Mortgage Lenders Association

Primary Contact Info.*

First Last

Primary Contact Phone*

Primary Contact Email*

Primary Contact Job Title*

Secondary Contact Info.

First Last

Secondary Contact Phone

Secondary Contact Email

Secondary Contact Job Title

Company name*

(as registered with securities commission)

Year of incorporation*

Company address*

Street Address Address Line 2 City Province Postal Code

Company Phone Number*

Company Fax Number*

Website URL*

Number of Employees*

Number of Offices*

Number of Dealing Reps*

Registered with*

Exempt Market Dealer

Registered Portfolio Manager

Investment Fund Manager

Other

Jurisdiction your firm is registered*

Alberta

British Columbia

Manitoba

New Brunswick

Newfoundland & Labrador

Nova Scotia

Ontario

Prince Edward Island

Quebec

Saskatchewan

Northwest Territories

Nunavut

Yukon

List your Firm's Managed Funds*

Exact Market Dealer (EMD) Info.*

EMD Name

# of years as EMD

Contact Name

Title

Related Entity? Y/N

Phone #

Other Registered Dealers/3rd Party EMDs*

Dealer Name

Cat. (EMD, IIROC, etc)

Contact Name

Title

Phone #

Key Individuals*

Full Name

Job Title

Phone #

The following information will be used to quantify and substantiate the representation of CAMLA and will not be used to disclose individual company information.

Under Administration*

# of Mortgages*

In an Investment Pool*

# of Mortgages*

In Syndication*

# of Mortgages*

Residential Property*

# of Mortgages*

Commercial Property*

# of Mortgages*

Land Only*

# of Mortgages*

Construction*

# of Mortgages*

Other (leases, personal, etc)*

# of Mortgages*

By Province*

Province Name(s)

CA$ Amount

# of Mortgages

*% Share First Mortgage - % of your total portfolio concentration in first position mortgages.

Annual Portfolio Information*

Year Ended

% of Annual Return

Total Assets ($M)

# of Mortgages

Loan to Value %

% Share 1st Mortgages

Do you grant permission to CAMLA to photograph and/or videotape and/or audiotape me in the course of participating in any and all CAMLA events to use your name and any of these photographs and/or videotapes for CAMLA purposes in any membership media and territory?

Yes

CAMLA News and Updates*

By submitting your personal information you agree to receive emails from CAMLA news, media offers and developments that we think may interest you. You can always change your preferences anytime by selecting Email Preferences when we send you emails.

Yes

Disclaimer*

I understand and agree that the contact information I have provided will be displayed on CAMLA’s website (brokers & associates only), and in CAMLA’s annual membership directory.

I have read, understand and agree to abide by CAMLA’s best business practices, professional standards of practice and bylaws, including the Code of Ethics and the policies of the Association. These documents can be read on CAMLA’s website at: https://camla.ca/

I understand and agree that if I breach the approved Standards of Professional Conduct, I can be subject to an ethical procedure.

I acknowledge that by submitting this form, I am giving CAMLA consent to use the information supplied for membership and the purposes specified.

I hereby authorize CAMLA to make all inquiries necessary to verify the accuracy of statements made herein.

I understand that the CAMLA Board of Directors reserves to right to deny membership or renewal and should my application be denied, I will receive a refund of my application fee. I acknowledge that if my application is denied, I have the opportunity to re-apply as outlined in the Association bylaws.

I have read and accept the terms & conditions set forth in the disclaimer above.

This field is for validation purposes and should be left unchanged.

Membership application form