To join please print and mail the form to: CSPC-T, 2 Carlton St. Suite#1001,
Toronto, Ontario M5B 1J3
or fax to: 416-351-0107
or call Mary Micallef at 416-351-0095 ext. 100
First name:
Last name:
Email address:
Organization
Title
Address:
City:
Province
Postal Code:
Phone:
I would like to join CSPC-T as a(n)
Please bill my: VISA Mastercard
Account Number
Expiry Date (Month/Year)
Cardholder's Name
Please send an invoice
to address above
Iinvoice to this address: