Application for Membership

Fields marked by a * are required.

* Given Name:

* Family Name:

Title:

Employer:

 (Name of University if a Student)

Home Telephone:

Office Telephone:

   Ext:

Facsimile:

* E-mail:

URL:

* Address:

* City:

* Province/State:

* Postal Code/Zip:

Country:

 

Do you want your Telephone/E-mail/URL to appear in the online Membership Directory ? Yes No

Preference for receiving CORS-SCRO Bulletin:
E-mail notification that latest Bulletin is available for viewing on the website
Send a paper copy by regular mail

Annual Membership Fee:
Regular ($75.00)
Retired ($37.50)
Student ($35.00)
Other:

Payment methods
  • Pay electronically with VISA or MasterCard on our secure site by filling in the information below and pressing the Submit button.

Type of Card:

 Visa MasterCard

*Name on Card:

* Card Number:

* Expiry date:

 (mm/yy e.g. 03/01)

 

NOTE: The Membership year begins on April 1st and ends on March 31 of the following year.

 

If you have any questions about joining CORS or any other membership concerns, please contact

Wendy L. Caron
CORS Membership Services
E-mail: caronwendyl@sympatico.ca