CFU full membership signup form

Full Name*:

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E-mail address*:

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Mailing Address*:

Street:    City:

Province:                          Postal code:

Country:   

Phone:                                   Fax:

Phone: 

Sector of work:

Other groups you belong to:

Select as many as applicable (cntrl or Apple - click)

 


(select the current month*)

Current
Month:
Oct.
Nov.
Dec.
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug.
Sept.
Dues:
$125
$114.58
$104.17
$93.75
$83.33
$72.92
$62.50
$52.08
$41.67
$31.25
$20.83
$10.42
Select:

* Membership fee is $125/year. October is our renewal month, so the membership fee you pay for your first year is prorated based on the month you join.

Special Charter Member rate

$100
Available to CFU Charter Members ONLY
Provide Charter Membership # or date of application:

If you have any other general comments or questions, please let us know your thoughts: