Visa     MasterCard


Payments for CSC Member Fees
(Review Relevant Policies, Terms & Conditions)
              - Privacy                 - Financial


Member's Name:

Member Number:

Member's 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 2019:
Annual Fee - Full Member
   $350.00
Annual Fee - Associate Member
   $240.00
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
   $2,000.00



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  
 
Taxes
 
TOTAL (will be charged to your credit card)


Credit Card Information:
Visa     MasterCard                


       
Credit Card Type:  
Credit Card Number:  
Name of Card Holder:  
Card Expiry Date:   Year=       Month=
Card Security Code:  
Card Address - Street:  
Card Address - City:  
Card Postal Code:  
  Use this credit card for future annual renewals.