Canadian Council of University Biology Chairs
Conseil Universitaire des Directeurs de Biologie du Canada
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Membership Form & Invoice / Formulaire d’Adhésion et Facture
Invoice Date:
February 7, 2012
Due Date:
April 20, 2012
Membership Fees / Frais d'Adhésion 2012
Please fill in this form along with your CCUBC membership payment for 2012 as instructed on the screen / S'il vous plaît, veuillez compléter ce formulaire et y joindre le paiement de votre adhésion au CUDBC pour 2012 en suivant les instructions sur l’ecran.
Please help us keep our mailing list up-dated by informing us of any necessary corrections / S’il vous plaît, aidez nous à garder notre fichier à jour en indiquant les changements vous concernant.
Membership Information / Information sur l'Adhésion
(* Required Fields/Requis)
Note:
If you are renewing your membership, the contact information for your department will be updated in our records / Si vous renouvellez votre adhésion, les informations concernant le contact avec votre département seront mises à jour.
*
Are you renewing an existing membership / Renouvellez-vous votre adhésion? Yes
No
Renew Membership / Remplacez l'Adhésion:
*
University /
Université
<--please select-->
Acadia University
Athabasca University
Bamfield Marine Sciences Centre
Bishop's University
Brandon University
Brock University
Carleton University
Concordia University
Concordia University College of Alberta
Dalhousie University
Huntsman Marine Science Center
Lakehead University
Laurentian University
MacDonald College
Malaspina University-College
McGill University
McMaster University
Memorial University of Newfoundland
Mount Allison University
Mount Royal University
Mount St. Vincent University
Nipissing University
Queen's University
Saint Mary's University
Simon Fraser Unviersity
St. Francis Xavier University
Thompson Rivers University
Université de Moncton
Université Laval
University of Alberta
University of British Columbia
University of British Columbia Okanagan
University of Calgary
University of Guelph
University of Lethbridge
University of Manitoba
University of New Brunswick
University of New Brunswick, St John Campus
University of Northern British Columbia
University of Ottawa
University of Prince Edward Island
University of Regina
University of Saskatchewan
University of Toronto
University of Toronto at Scarborough
University of Toronto Mississauga
University of Victoria
University of Waterloo
University of Western Ontario
University of Windsor
University of Winnipeg
Wilfrid Laurier University
York University
Contact Information of Chair / Coordonnées du Directeur
*
First Name /
Prénom
*
Last Name /
Nom de famille
*
Address /
Adresse
*
City /
Ville
*
Province
<--please select-->
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
*
Postal Code /
Code Postal
Fax /
Télécopieur
*
Phone /
Téléphone
*
Email /
Courriel
*
Duration of chair's term, from /
Durée du Mandat du Directeur: De
To / À
Payment Information / Mode de paiement
Enter the number of faculty members and click CALCULATE to view the total / Notez le nombre de membres de la faculté et cliquez sur CALCULATE pour afficher la somme totale
*
of full-time faculty members in your department /
de membres de la faculté à temps plein dans votre département
$15
$
1
compulsory departmental membership /
obligatoire pour le département
$65
$65
Based on maximum 35 members
Total
$
Payment in Canadian funds must accompany this submission.
*
Payment Method
Cheque Payment
Credit Card Payment
Name on credit card
Credit card payments will be processed by PayPal (please note that PayPal accepts
VISA
,
MasterCard
and
American Express
).