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Please fill out this form to submit your application for membership or to renew your membership in College Chemistry Canada.

Membership Dues are $20 for 1 year (May 1- April 30).
Applications received after March 1 will be applied to the following membership year (beginning May 1).
Current Membership Year: 2017

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Conference registration includes your membership dues. If you are planning to attend this year's conference, you don't need to submit this application.

 

If you are a C3 member enter your email address here to retrieve your contact info.

Member ID:
  Enter your contact info (or make changes) below.
First Name: Institution:
Last Name: Mailing Address:
Phone: Address 2:
  EXT: City:
Email Address: Province: Postal code:
 

 

Please enter any comments, questions, or other details in the text box.



You can pay by cheque or through Paypal
(the Paypal option includes an extra $0.75 service charge ).
Select the appropriate option below.

Select a payment method:

Paypal

This option will allow you to use a credit card through Paypal. An extra $0.75 service charge is added.
Note, no personal information is passed to Paypal,
only the Membership ID and amount due is sent.
You may have to open a Paypal account if you do not already have one
(which can be done as you pay).

Cheque This option will allow you to mail a cheque.
Details for mailing your cheque are provided after submitting your application.

 

Please complete all fields.

You may be contacted directly for further details if necessary.


If you make a mistake or need to change something after the fact, please don't resubmit this page, please contact the .