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Payments for CSC Education Programs
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Name of Participant:


Participant's Organization:


Participant's Phone:


Participant's Email:


Application :
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CSC Membership Status:
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Event Dates for This Registration:
 


Fee Rates for This Registration:
member=             nonmember=


Payment Details (All amounts are CAN$)

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Taxes    


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Credit Card Information:
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Credit Card Type:  
Credit Card Number:  
Name of Card Holder:  
Card Expiry Date:   Year=       Month=
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Card Address - City:  
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