SCMA Membership Form

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SCMA Ontario - New Member Application - Step 1/3

Please note that starting May 1, 2017, SCMAO is transitioning to a common renewal date of May 1^st for all its members.
For your first year, your membership dues will be pro-rated to expire on April 30^th (applies to Regular membership fees and for New Members only).
After your first period, you will be invoiced for a full year for the period of May 1^st - April 30^th.
Please click here for more information.

	$29.00	Student Affiliate
	This option is only applicable to Full-Time university/college students. Once your application is approved you will be provided with a payment link to complete your application. Membership Fees are non-refundable. **All Memberships will expire on April 30th in the following year
	$273.33	Regular (New Member)
	Pro-rated dues only available to New Members. $410 rate applies to renewing members. **Membership fees are non-refundable.
	*If the membership type you are applying for is not listed, kindly contact the SCMA Ontario office at info@scmao.ca.

Salutation*:
First name*:
Middle initial:
Last name*:
Primary email*:
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Phone (xxx-xxx-xxxx)*:	ext
Alternate phone:	ext
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Address*:
Suite/Floor/Office:
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Province/State*:
Postal/Zip code*:
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Same as Preferred Address

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Address:
Suite/Floor/Office:
City:
Province/State:
Postal/Zip code:
Country:

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