2017-18 Organizational Membership Renewal Form and Contact Information Update
Thank you for renewing your membership in SCIC. We look forward to continuing to work together for a more just, equitable and sustainable world!
Organization Name: *
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Name of CEO:
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Name of Contact Person outside of Saskatchewan (if applicable):
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Designated Contact in Saskatchewan *
Name:
Your answer
Title / Position with Organization
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E-Mail: *
Your answer
Phone: *
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Ext:
Phone:
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Fax:
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Mailing Address *
Street # or PO Box:
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Unit or Apartment #:
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City: *
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Province: *
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Postal Code: *
Your answer
Secondary Contact in Saskatchewan
Name:
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Title / Position with Organization
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Secondary Contact Address
If different from contact address listed above
Your answer
Secondary Contact E-Mail:
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Secondary Contact Phone:
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Are you bringing any Southern Partners to Canada? Please consider travelling to Saskatchewan!
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Please provide us with any other thoughts you may have on ways we can improve your experience as an organizational member.
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2017-18 Fee Structure *
SCIC has revised our membership structure. We now have 1 organizational membership category instead of 2 (previously full and associate), with a sliding scale fee structure. Please let us know which of the following categories you fall into:
2017-18 Organizational Membership Fee Payment Options (Please pay within 30 days of receipt). *
An electronic copy of your invoice can be sent to you upon request.
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