Book Publishers Association of Alberta

	Application for Membership BOOK PUBLISHERS ASSOCIATION OF ALBERTA

1.	Name of company
2.	Contact person and title
3.	Street Address
4.	Mailing Address, if different from above
5.	Telephone	Fax:
	Email	Website
6	. Incorporation Info
	a) Nature of company (ie, society, corporation, sole proprietorship, etc.)
	b) Province of incorporation
	c) Date of incorporation
7.	Date of BPAA membership application
8.	What BPAA membership status are you seeking? (Check one.)
	a) Full Member The following are the requirements for full membership: Chief office of business in Alberta At least 80% beneficially owned by Canadian citizens or landed immigrants, or fully owned and controlled by Canadian institutions or associations which in turn are at least 80% controlled by Canadian citizens or landed immigrants. 51% beneficially owned by people domiciled in Alberta, and with effective managerial, editorial and financial control by people domiciled in Alberta. Publishes original Canadian books as primary and not occasional activity. In operation for at least two years from the date of publication of first title. Has at least four original Canadian titles in print, and has a publishing programme which produces at least one new title per year. No more than 25% of titles in print have been written by principals, directors or employees of the applicant. (Please note: Publishers with more than 25% of their titles authored by principals or directors of the company may be eligible for membership so long as they can demonstrate that they are a bona fide book publisher.) Is a member of the Association of Canadian Publishers (ACP), or agrees to make application to the ACP for active or associate membership. Voting rights at all Alberta Publishers membership meetings. Annual Membership fee: $750. b) Associate Member The following are the requirements for associate membership: Chief office of business in Alberta. At least 80% beneficially owned by Canadian citizens or landed immigrants, or fully owned and controlled by Canadian institutions or associations which in turn are at least 80% controlled by Canadian citizens or landed immigrants. Have effective managerial and editorial control by people domiciled in Alberta, and financial control in the hands of people living in Canada. Book publishing an important but not necessarily primary function. Has published at least two Canadian titles within the previous three years. More than 25% of books have been authored by principals, directors or employees of the firm. May attend membership meetings, but cannot vote. Annual membership fee: $500 c) Supporting Member The following are the requirements for supporting membership: Any individual, firm, partnership, individual proprietorship or institution which supports the objectives of Alberta book publishers. May attend membership meetings, but cannot vote. Receive member mailings, listed in membership directory but not part of the BPAA's display programme. Annual membership fee: $250
6.	Chief officers of the Company (Please provide name, position held, address and telephone number.)
7.	Non-Albertan shareholders Are any shares of the company held actively, or on behalf of, or pledged to persons who are not Canadian citizens permanently resident in Alberta? Yes No If yes, please provide full details of the holdings of these individuals and/or corporations.
8.	Directors Please provide a complete list of all directors of the company as of the date of this application. Indicate citizenship and domicile of each director. In the case of directors who are landed immigrants, please specify the length of time such status has been held.
9.	Partnerships If the firm is a partnership, please provide a complete list of all partners and indicate their citizenship and domicile.
10.	Publishing Programmes a) What is the total number of book titles the firm currently has in print, which were written by authors who are Canadian citizens or landed immigrants? b) What is the total number of original Canadian titles your firm has published during the past two years? Year No. of titles Year No. of titles c) For each of the above years, what percentage of total book sales was derived from original titles written by Canadian authors or landed immigrants? Year 0-25% 25-50% 50-75% 75-100% Year 0-25% 25-50% 50-75% 75-100%
11.	Titles authored by Principals, Directors, Employees or Partners What percentage of the titles originated by your firm are authored by principals, directors, employees or partners in the firm? 24% or less 25% or more
12.	Further information If the executive committee of the BPAA should decided that further information is required in order to determine the eligibility of the applicant for BPAA membership, would you be willing to provide more details than those requested in this form, to independent auditors if necessary? Yes No
13.	Other Business Arrangements a) Are there any contracts, agreements, loans or financial arrangements between the firm and non-Albertan companies or persons who are not domiciled in Alberta, which have the actual or potential effect of limiting the independence or decision-making powers of its owners or managers? Yes No b) If the answer to 13a above is yes, please provide full details, including location of ultimate decision-making power on such questions as sale of the firm, appointment of top manager, entry into world markets, etc.
14.	Affidavit Should there be a request for an affidavit attesting to the complete accuracy of all information provided in answer to the questions within this form, would you be willing to provide one? Yes No
15.	Notification Are you willing to guarantee that, if ownership, direction or management of the firm passes out of clear and obvious control by Canadian citizens domiciled in Alberta, you will immediately notify the BPAA Executive Committee and resign your membership if so requested? Yes No
16.	Titles in print Please complete the attached form regarding titles in print for your firm. (Provide information for each title.)
17	Affiliations Is your firm currently a member of any of the following associations? ACP CBIC ACUP Other industry associations? (Please list.)
DATED THIS DAY OF , 20 , BY: SIGNATURE TITLE FIRM ADDRESS RETURN COMPLETED APPLICATION FOR MEMBERSHIP FORM TO: Book Publishers Association of Alberta 10523 - 100 Avenue, Edmonton, AB T5J 0A8