Membership Registration

INVOICE - 2011

MEMBERSHIP FEE PER INDIVIDUAL FOR THE PERIOD JULY 1, 2011 - JUNE 30, 2012

$100 PLUS GST = $105.00 TOTAL

GST REGISTRATION #1204413571

IF YOU WISH TO PAY BY CHEQUE PLEASE COMPLETE THIS FORM, PRINT IT AND MAIL IT TO OUR PO BOX (SEE CONTACT PAGE)

Please note that AFPC-Calgary operates on an individual (not corporate") membership basis. Substitutions are not permitted, but non-members are welcome to attend AFP-Calgary events at the non-member rate. See our website for event details.

Each member will be put on the contact list for all correspondence. We ask that you provide your current information so that we may verify and update our records accordingly.Non-members are invited to all AFPC-Calgary events at the non-member rate. If you have any questions concerning your membership in AFPC-Calgary, please email: calgary@afpc-calgary.ca

Company Name

Full Name

First NameLast Name

E-mail:

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Did an existing member of AFPC-CALGARY refer you to join our group? If so please provide name and company in the spaces provided below:

Referral Name

First NameLast Name

Referral Company

AFPC-CALGARY may choose to share our membership list with other AFPC-CALGARY members (ONLY). If you do not want your name shared with other members of AFPC-CALGARY, please indicate below:

Click here if you

Payment may be made by VISA or Mastercard only. A one time charge of $105.00 will be charged to the credit card account you indicate below (payable to AFPC-Calgary). Please complete the following fields:

Amount

VISA or MC number

Expiry date

Please complete the capcha and click the SUBMIT FORM button below to complete this transaction. A copy of this form will be emailed to you immediately as a receipt. If you have any questions please contact us via our general email inbox at CALGARY@AFPC-CALGARY.CA. THANK YOU, we look forward to seeing you at our next event!

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Membership Form