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Application for Active or Associate Membership

Type of membership requested Active Associate
Last name (*)
First name (*)
Institution (*)
Business address (*)
City (*)
Province (*)
Postal code (*)
Telephone (*) Ext.
Fax
E-mail (*)
Degree/Discipline
Affiliation (University/Department)
Requesting membership in following
Thematic Groups:
Primary
Secondary
Secondary
Secondary
Attach your Canadian Common CV (*)
Attach cover letter (*)
Letter from Primary Thematic Group
Co-ordinator (*)
 
(*) = mandatory field

 

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