Membership Application Form

Please print out, complete, and return by mail with your dues. Name: __________________________________________________ Company: _______________________________________________ Present position: _________________________________________ Phone (home): _______________ Phone (office): _______________ Fax: _______________ E-mail: ______________________________ Web address (URL): _______________________________________ Mailing address: __________________________________________ City, Province / State: _____________________________________ Postal / ZIP Code: ______________________________ Type of membership: (Choose one)   Within Canada Outside Canada Individual: $90 $100 Student: $60 $70 Institutional: $105 $115 Total remittance enclosed: $_____________________ Please make your cheque or money order payable to: Indexing Society of Canada (ISC) Signature: ____________________________ Date: ______________ Please highlight any of the above information that you do not want included in the ISC / SCI Membership Directory, which is circulated to other members. Please mail this application with your remittance to: The Membership Secretary, Indexing Society of Canada (ISC) P.O. Box 664, Station P, Toronto, ON Canada M5S 2Y4