Certi-Last® Membership Application

The undersigned hereby applies for membership in the Cedar Shake and Shingle Bureau ("CSSB")...THIS TEXT CAN BE EDITED IN CMS

Fields marked with an (*) are required

Company Name: *
Street Address: *
Country: *
Province/State: *
City: *
Postal Code/ZIP: *
Email: *
Website:
Principal or Contact: *
Phone: *
Fax:
Referred By: *
If accepted, how should your membership certificate read?*
Type of Business:
 
 
 
 
   
Number of treatment plants
operated by applicant:
Treatment Plants Location(s):
Actual Physical Location:
Provide brief directions if necessary.
Has the applicant firm or any of it subsidiaries, its parent companies or any of its principals applied to the Cedar Shake and Shingle Bureau for membership in the past?  
Previous Application Details:

Application Agreement

Please download a copy of the Certi-Guard application agreement. Sign the document and then attach it to this form. Certi-Last Application Agreement (PDF)
Certi-Last Application Agreement*
VIEW CURRENT MEMBERSHIP FEES/DUES

The Applicant firm certifies that the information provided in this application is accurate and complete to the best of its knowledge.

Pay the application fee now

Note: Only Certi-labeledTM products manufactured by members of the Cedar Shake and Shingle Bureau qualify for Certi-Last® or Certi-Guard® labeling.

In its sole discretion, the CSSB reserves the right to deny membership applications.