2018-19 Individual 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!
Name (first and last)
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E-Mail: *
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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: *
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Please provide us with any other thoughts you may have on ways we can improve your experience as an individual member.
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2018-19 Membership Fee Payment Options (Please pay within 30 days of receipt). *
Individual membership fees are $25. An electronic copy of your invoice will be sent to you. Please indicate which payment method you will use:
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