MEMBERSHIP RENEWAL
Membership Type
Individual $60
Student $20
Corporate $200
Member"s First Name
*
Member"s Last Name
*
Member"s E-mail
*
Business Name
Address
*
City
*
Postal
*
Date Dues Paid
*
-
Month
-
Day
Year
Date
Paid by
*
Credit Card
Cheque
Membership Options
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Student Membership
$
20.88
CAD
Individual Membership
$
62.04
CAD
Corporate Membership
$
206.10
CAD
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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