Membership Application

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(2002-3)

Please fill out the printed form and send along with cheque or money order, payable to CASIS, to:CASIS Secretariat P.O. Box 69006, Place de Ville Ottawa, Ontario, K1R 1A7

Membership rates are as follows:
$35.00 (regular member);
$25.00 (students and seniors - 65 and over or retired).

Please add $5.00 if you live outside Canada. A tax deductible receipt will be issued to Canadian members who pay their own fees.

I am renewing my membership at $__________
I am a new member at $__________

Please send all correspondence to
my home;
business
NAME_____________________________________________________________________

ADDRESS (Indicate whether home or business)      ___________________________________________________________________________

___________________________________________________________________________

PHONE (Home)_________________________ (Business)____________________________

E-MAIL_______________________________
 
 

AREAS OF INTEREST

Would you be interested to take part in a panel at one of our meetings?____________________

Would you have any suggestions for panel or conference subjects?________________________

Please send cheque or money order, payable to CASIS, to: CASIS Secretariat P.O. Box 69006, Place de Ville Ottawa, Ontario, K1R 1A7
 
 

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