Organization
Address
City
Prov/State== select == ==Canada== AB BC MB NB NL NS NT NU ON PE QC SK YT ==USA== AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MR MS MT NC ND NE NH NJ NM NN NV NY OH OK OR PA PL PO PR RI SC SD TN TT TX UT VA VI VT WA WI WV WY ==International== Other
Country== select == Canada United States --- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
Postal/Zip Code
Phone
Website
Number of Full Time Staff
Number of Part Time Staff
Agent Sales Volume Less than 500K Over 500K
Distributor Sales Volume Less than 3M Over 3M
Are you a Quebec-based Distributor and an APC member? Yes No
Certification Status WETT-Certified Non-Certified
Retailer Sales Volume Less than 1M Over 1M
Service Sales Volume Less than 100K Over 100K
Honorific== select == Mr. Ms. Miss Mrs. Dr. Hon.
First Name
Last Name
Title/Position
E-mail
Secondary Email
Roles CEO Finance Marketing Sales Technical Regulatory HR Other
How long have you been in the industry?== select == Less than 1 year 1-4 years 5-10 years 11-15 years 16-20 years 21-25 years 26-30 years More than 30 years Prefer not to say
What is your age?== select == 18-30 30-40 40-50 50-60 60-70 70 or older Prefer not to say
Are you WETT certified? Please select all that apply. WETT Certified SITE Basic Inspector WETT Certified Advisor WETT Certified Advisor and SITE Basic Inspector WETT Certified Chimney Sweeping and SITE Basic Inspector WETT Certified Technician and SITE Basic Inspector WETT Candidate - not currently certified but working towards certification I am not WETT certified, nor am I a WETT candidate Prefer not to say
Which WETT Courses have you completed? Please select all that apply. Code Compliance Wood-burning Systems SITE Inspection Chimney Sweeping Pellet Heating Technology Prefer not to say
Are you NFI certified? Please select all that apply. NFI Gas Specialist NFI Woodburning Specialist NFI Pellet Specialist NFI Hearth Design Specialist NFI Master Hearth Professional I am working towards NFI certification My NFI certification expired, and I am not currently working towards renewing it I have never been NFI certified Prefer not to say
Receive co-op vouchers for up to 50% of your membership dues by selecting the participating companies from which you are eligible for Co-op below.
HPBAC will issue vouchers to you, which must be submitted to your manufacturer or distributor representative in order to be redeemed. Check with your rep about the best way to get your vouchers redeemed.
(Voucher reimbursement subject to manufacturer/distributor’s co-op rules and regulations.)
Co-op Manufacturers Blaze King HHT ICC Napoleon Regency Valor
How would you like your Co-op for Dues vouchers sent to you? Printed and mailed Digital copies emailed
Is this Staff Member a Billing Contact? (Billing Contacts will be cc'd on renewal notifications and be able to edit organization profile and staff members) Y N
Do you consent to receive email communications from us? Y N
Would you like your membership renewed automatically by credit card? If selected, we will automatically charge your dues on the morning of January 1st without you having to do anything. You will receive a receipt. By clicking "Y", you are accepting continuous renewal. For more information, please review the Continuous Renewal FAQs (NOTE: If you have this option enabled, please ensure you have a credit card on file in My Account under Billing Information.) Y N Y N
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