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.
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.
	$410.00	Regular (New Member)
	Sign up between February 8 and April 7th to get 14 months of membership for the price of 12 months. **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*:
Alternate email:
Phone (xxx-xxx-xxxx)*:	ext
Alternate phone:	ext
Fax number:
Mobile Phone:
Company:
Title:
Preferred language:

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

Same as Preferred Address

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

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