Would you
like to join a national committee? Please check the one(s) you would like to join.
NOTE: Committee work is purely voluntary. It is not required.
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Renewal discounts & contact informartion:
How will you pay?
If you have any other general comments
or questions, please let us know your thoughts:
Mailing Address (ONLY FILL IN THIS SECTION
IF THE INFORMATION HAS CHANGED)*:
Street:
City:
Province:
Postal
code:
Country:
Phone:
Fax:
Phone:
Sector
of work:
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Other groups you
belong to:
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Select
as many as applicable (cntrl or Apple - click) |
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