Membership Application

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Membership Application

RETURNING MEMBERS ONLY PROVIDE NAME & CPD CREDITS IF NO UPDATES ARE REQUIRED

Todays Date

Work Information

Full Name
Company
Job Title
Credentials

Mailing Information

Mailing Address
City
Province
Postal Code
Work Phone
Cell Phone
Fax
Email
Chapter
Website

Personal Information

Want to be listed as a public speaker ?
Speaking Topics
0 /
CAFA CDP Credits Earned
Criminal Record
Please Explain
0 /
Declared Bankruptcy?
Please Explain
0 /
Professional Sanctions Imposed?
Please Explain
0 /
Errors & Omissions Insurance?
Taken an Ethics course?
Professional Code of Conduct?
Explain Your Answer
0 /
2 CAFA Member References
0 /
Brief Bio on Yourself
0 /
How did you learn about CAFA?
0 /
Upload a Picture
Upload
Description of Services & Expertise.
0 /

Membership Information

Regular Member: $385 ( Plus 5% GST $404.25 or ON 13% HST $435.05 )

Associate Member: $135 ( Plus 5% GST $141.75 or ON 13% HST $152.55 )

Student: $100 ( Plus 5% GST $105.00 or ON 13% HST $113.00 )

20% Savings Regular Member + 1 Farm Update ( $300 + Tax ) ( Plus 5% GST $575.40 or ON 13% HST $619.24)

20% Savings Assoc Member + 1 Farm Update ( $300 + Tax ) ( Plus 5% GST $361.20 or ON 13% HST $388.72)


CAAR Membership Add: $78.75 ( GST inc ) or $84.75 ( HST inc )

GST REGISTRATION #86481 2532 RT000

Payment Information

Membership
Amount Paid
Card Number
Expiry Date
Signature
Confirm
Mailing Cheque

Mail Cheques to:

CAFA

PO BOX 270

Seven Sisters Falls,

Manitoba R0E 1Y0

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