Membership form

1. Please check the appropriate box*

Renewal
New Membership

Please write down your membership number

2. Your Personal Information*

Surname Name

Address*

Address Address line 2 City Province Postal Code

Telephone*

E-mail

If you are a member of a guild, please specify the names:

3. Membership
The annual membership fee covers a period of 12 or 24 months as of your registration date.

Your Choice*

2 years 57.49$ Tx included (Recommended)
1 year 34.49$ Tx Included

Payment*

By cheque
By Interac e-Transfer

Mail your cheque to Registrar Nicole Dufour 4004 Robert Street, Terrebonne Qc. J6X 2 M 9 or make an Interac e-Transfer to Courtepointe Quebec and send to finance@courtepointequebec.com. Use "courtepointe" as the answer to the security question.

Fill out the form below to become a member