COMPANY NAME : DATE COMPANY FORMED: MAILING ADDRESS: CONTACT INFORMATION WEBSITE EMAIL TELEPHONE FAX OTHER NATURE OF BUSINESS Agriculture, Forestry & Fish Mining & Quarrying Manufacturing Construction Electricity, Gas & Water Transport, Storage & Communications Finance, Insurance, Real Estate & Business Services Wholesale & Retail Trade, Hotels & Restaurant services Community, Social & Personal Services OTHER (SPECIFY) : PRINCIPAL PRODUCT RANGE OF EARNINGS 1-4.99M 5-199.99M 200M & Over WORKFORCE SIZE NUMBER OF BARGAINING UNITS MEMBERSHIP SUBSCRIPTION TYPE INDIVIDUAL MEMBERSHIP: Employees 1-1 [RATE: $16000 per annum] CORPORATE/ASSOCIATIONS MEMBERSHIP: Employees 1-30 [RATE: $27000 per annum] CORPORATE MEMBERSHIP: Employees 31-200 [RATE: $40000 per annum] CORPORATE MEMBERSHIP: Employees 201-over [RATE: $51000 per annum] GROUP OF COMPANIES MEMBERSHIP: [RATE: $80000 per annum] NUMBER OF UNIONIZE EMPLOYEES MANAGERS SUPERVISORY TECHNICAL CLERICAL HOURLY PAID UNION CONTRACTS CATEGORY SIZE UNION EFFECECTIVE DATE EXPIRY DATE MANAGERS SUPERVISORY CLERICAL TECHNICAL HOURLY PAID COMPANY REPRESENTATIVES (1-6) REP's. NAME POSITION EMAIL WORK/OFFICE EXT. Authorized Representative Name Poition