CSCP-SCPC Membership Form

CSCP-SCPC Membership Form/Renewal

Name:

Institutional Affiliation:

Address 1:

Address 2:

Province:

Postal:

Home Phone Number:

Fax:

Office Phone Number:

E-Mail:

Home Page:

Post mailing & e-mail addresses online?
Yes
No

Renew/Start membership beginning:

Year

Reason for submitting this form to the CSCP-SCPC?

Options:
Membership renewal
Update my information
New member

List three areas of specialization/interest:

List three recent publications:

Par la Poste/Print completed form and return with cheque made out to the CSCP-SCPC by regular mail to:

Prof. E.J. McCullough, CSCP Treasurer
St Mary's College,
14500 Bannister Road SE
Calgary, AB T2X 1Z4
ernie.mccullough@stmu.ab.ca

Please also click envelope to submit your info electronically