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Membership Application Form... |
| Applicant's name: Affiliation: ___________________________________________________ Address: ___________________________________________________
Sponsoring member(s):
Membership type (circle one) Regular Student Telephone: Fax: E-mail: _______________ Membership dues are $25 ($10 Students) / year (fiscal year starts May 1st) Amount enclosed: Make cheque payable to: CSCOP Covers years: 03/04 04/05
05/06 06/07 07/08 (please indicate years covered by payment) Signature: Date: ____________________ Mail to:
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