CSC OnlinePayments                               Visa     MasterCard

Membership Payments


Full Name:
Member Number:
Email:

 
Province/Country of residence (for tax calculation):
B.C.  
Alberta  
Saskatchewan  
Newfoundland Labrador  
Manitoba  
Ontario  
Québec  
Prince Edward Island  
New Brunswick  
Nova Scotia  
 
Yukon  
Nunavut  
North West Territories  
 
 
 
Not Canadian resident
Membership Class:
Previous:
  None         Lapsed                                
  Full     Associate     Affiliate     Companion     Student  
 
For Payment:
  Full     Associate     Affiliate     Companion     Student  
 
Separate Items:
  Review for Full       Accreditation for Full       


Membership Fees and Charges 2017:
Annual Fee - Full Member
   $300.00
Annual Fee - Associate Member
   $200.00
Annual Fee - Affiliate Member
   $140.00
Annual Fee - Companion Member
   $140.00
Annual Fee - Student Member
   $50.00


Initiation Fee - New Members
   $100.00
Initiation Fee - Accredited Students
   $0.00
ReInstatement Fee - Lapsed Member
   $100.00
Imago Alignment - Full and Associate Members
   $10.00


Application Review Fee - Full Members
   $250.00
Accreditation Fee - Accepted Full Members
   $1,000.00



Payment Itemization:(calculated/entered)
Annual Fee


Initiation / Rejoin Fee


Full Member Application Review Fee


Full Member Accreditation Fee


Imago Alignment (non taxable)


Unspecified Extra Payment (taxable)
Unspecified Extra Payment (non taxable)
Note re Extra Payment


       


Payment Calculation
(All amounts are CAN$)                      
SubTotal


Invoice Taxes


TOTAL (will be charged to your credit card)




Credit Card Information
Visa     MasterCard
Credit Card Type            


Credit card number        


Name of Card Holder          


Expiry date                 Month(2digits)=       Year(2digits)=


Security Code (3-digit code at the back of the card by the signature )          


Use my credit card for future renewal Membership Annual Dues