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Application for Membership |
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Fields marked by * are required. |
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Title: |
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* First Name: |
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* Last Name: |
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Employer: |
(University if Student) |
Home Telephone: |
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Office Telephone: |
Ext: |
Fax: |
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* E-mail: |
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URL: |
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* Address: |
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* City: |
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* Province / State: |
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* Postal Code / Zip: |
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*Country: |
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Appear in Online Member Directory? |
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Preference for receiving the CORS Bulletin:
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*Annual Membership Fee:
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Special Interest Group |
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Enter security code:
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Payment |
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- Pay electronically by pressing Submit.
Please pay in Canadian funds.
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