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WAM Canada

WAM Canada Membership Application

Please complete the following form and submit it to us.

Membership dues are $75.00 Canadian per year ($35.00 Canadian for students). You may pay using PayPal. When you click "Submit" you will be automatically directed to our PayPal page.

Thank you.

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Personal Profile

First Name *

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Last Name

Address (Line 1)

Address (Line 2)

City

State/Province

Zip Code/Postal Code

Email *

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Telephone (Office)

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Telephone (Home)

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Telephone (Skype)

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Telephone (Mobile)

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Organizational Affiliation(s)

Work/Study

Membership

Volunteer

Other

Interests/Participation

Intrest in WAM (Canada)

Feedback on WAM membership

How can I contribute to WAM Canada?

Executive Position - Chair, Vice Chair, Secretary, Treasurer
Committee Chair - Events, Marketing, Membership, Communications, Fundraising, Other
Committee Member - Events, Marketing, Membership, Communications, Fundraising, Other
Other

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