Join APEX

The membership application form is available in pdf format here.


* Required Field

Name

 
Mr.    Ms.    Mrs.    Miss.    Dr.
First Name *
Last Name *
Title *
Department/Employer *

Office

Address *
City *
Province/Territory *
Postal Code *
Telephone *
Fax  
E-Mail *

Home

Address
City
Province/Territory
Postal Code
Telephone
E-Mail

Correspondence

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Payment

Annual membership fee: $95 (90.48 + 4.52 GST).
Membership valid for one year from registration date.

Cheque (to follow by mail)
VISA Please call Line Larose at 613-943-3263 to give your credit card informations.
MasterCard Please call Line Larose at 613-943-3263 to give your credit card informations.
Payroll Deduction (the appropriate form will be sent to you)