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Celebrating 30 years: 1980 - 2010 Wednesday, Sep 8, 2010



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To apply to become a Member, please fill out the registration form below and CHMSE will contact you to complete your profile and process payment: *

* Standard Annual Fee = $275.00 plus $25.00 one-time application fee plus $39.00 HST
* Long Distance Annual Fee = $99.00 plus $25.00 one-time application fee plus $16.12 HST
(limited to applicants based more than 80 km distance from Toronto City Hall)

First Name:
Last Name:
Title (position):
Company:
Business Address:
City:
Province:
Postal Code:
Business Phone: e.g. (613) 555 6789
Business Fax: e.g. (613) 555 6789
E-mail:
Website:
Company Profile:
Max 255 Characters.
Job Description Profile:
Max 255 Characters.

Please see our Member Definitions before choosing the type of membership you require.

Type of Membership:

Select Method of Payment:
Cheque Please make cheque payable to “CHMSE” and send payment to:
CHMSE
26 Avonhurst Rd
Toronto, ON
M9A 2G8
Visa CHMSE will contact you to complete payment
MasterCard CHMSE will contact you to complete payment
American Express CHMSE will contact you to complete payment

GST/HST # 864539440

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