Membership Application Form

Annual Membership Fee: $175

New Applications Submitted After July 1st: $100

Payment Instructions: An invoice will be sent to the applying school upon receipt of the application form.

(Note: Please put NA on not applicable fields)


College

School Name
Number of Campuses

Address

City
Province
Postal Code

Telephone
Fax
E-mail

Website

Owner or Senior Manager with Signing Authority


First Name
Last Name
Title

Telephone
Fax
E-mail

Representation and Voting Authority

Name
Position
E-mail

Telephone
Fax
Mobile

Alternative Representatives


First Contact

Name
Position
E-mail

Telephone
Fax
Mobile

Second Contact

Name
Position
E-mail

Telephone
Fax
Mobile