Print this form, complete it and mail OR fax it to AFP.
CHEQUE PAYMENTS: Make cheque payable to AFP of Canada and mail with this form to:
AFP of CanadaP.O. Box 7427Postal Station AToronto, ON M5W 3C1
CREDIT CARD PAYMENTS: Fax this form with credit card information to 301.907.2864, ATTN: Membership Department.
To avoid duplicate payments, do not mail applications that were previously faxed.
ANNUAL DUES - $75 (payable in CAD) - $75 dues payment only applies for professionals who are between positions. All other individuals must pay the current membership rate of $395. At the end of the Career Trust year, all members are invoiced the regular membership dues rate. Memberships expire December 31st of the year they begin. New members joining after March 31st will receive credit toward the following year's dues.
Please TYPE or PRINT.
Mr. Ms. Mrs.
Name: _____________________________________________________________
Address: ___________________________________________________________
City: _________________________ Province: ___________________
Postal Code: _______________ Country: _________________________
Phone: ________________________ Fax: ___________________________
E-mail: __________________________________________________________
PROFESSIONAL CREDENTIAL INFORMATION:
Indicate the professional credentials you have earned (excluding college degrees):
CTP CCM CPA CFA Other - Specify: ________________
How did you learn of AFP of Canada's Career Trust program?
AFP of Canada Web site AFP of Canada member Other: _________________
PAYMENT INFORMATION: $75 (payable in CAD)
Dues are individual, non-refundable, and non-transferable. Dues payments may be deductible as a business expense but are not deductible as a charitable contribution.
METHOD OF PAYMENT:
Cheque Enclosed American Express Diners Club MasterCard VISA
For Cheque Payment: Make cheque payable to AFP of Canada. Mail cheque and this form toAFP, P.O. Box 7427, Postal Station A, Toronto, ON M5W 3C1
For Credit Card Payment: Fax this form and credit card information (below) to 301.907.2864. To avoid duplicate payments, do not mail applications that were previously faxed.
Card # : _______________________________ Exp. Date: ______________
Signature: ________________________________________________________
For AFPC use only:
CT12ID#__________ Reg. #_______
CC/CK#_________Amt.$___________LB Date _________