CFBS | Canadian Federation of Biological Societies

Canadian Federation of Biological Societies

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SLS Membership Application Form
Updated: February 08, 2008

Please note:

If you are currently a member of a Canadian biological/biomedical society and you are applying for membership with SLS, then you only pay CFBS fees. Please refer to the membership fees schedule. If you are applying for SLS membership, please fill in the Canadian biological / biomedical society name.

Name
Address
City
Province / State
Country
Postal Code
Telephone (business)
Fax
E-mail
Present Position / Poste Actuel
Institution:
Education:
University / Université:
Year / Année:

CFBS Annual Membership Fees (2008)

	Regular Membership CDN$68.25
	Student Membership CDN$34.65
	Emeritus Membership CDN$34.65
	Associate Membership CDN$58.80
	Post Doc. Membership CDN$58.80
Society Annual Membership Fees (2008)
	Regular Membership CDN$57.75
	Student Membership CDN$21.00
	Emeritus Membership - CDN$21.00
	Associate Membership CDN$47.25
	Post Doc. Membership CDN$47.25
	I'm already a member of a Canadian Biological/Biomedical Society. Please fill in the society name:

Total:

Student Application Section
Students must be sponsored by their supervisor. / Les étudiants doivent être commandités par leur superviseur.

Name of Supervisor / Nom du superviseur:

Name of Institution / Nom de l'institution:

Name of Program / Nom du programme:

Supervisor's Telephone / Téléphone de superviseur:

Supervisor's Email/ Cour. El de surpeviseur:

Payment Information (GST Included)
GST# #R100763994)

Applications can be accepted only if accompanied by the full fee. Please make all cheques payable to CFBS. If you wish a receipt sent when the payment is received, please provide a self-addressed stamped envelope with the payment, and an official receipt will be sent you or one can be sent to you by e-mail. Please include FULL PAYMENT and send to:

CANADIAN FEDERATION OF BIOLOGICAL SOCIETIES (CFBS)
305 - 1750 Courtwood Crescent
Ottawa, Ontario Canada, K2C 2B5
Inquiries: Tel: (613) 225-8889 Fax: (613) 225-9621

Please print this form for your records before clicking "Submit". An email receipt will be sent to you once your payment has been processed. / Veuillez imprimer cette application pour vos dossiers avant de cliquer "Submit". Vous recevrez un reçu par courriel électronique confirmant le traitement de paiement.

Payment Type
Visa
Mastercard
American Express
Please add the letter "A" before inputing your American Express #

Cheque
None

Name On Card

Card Number

Expiry Date (mm/yy)

Total Amount Due

Please include FULL PAYMENT (cheque or money order) and return to:

CANADIAN FEDERATION OF BIOLOGICAL SOCIETIES (CFBS)
305 - 1750 Courtwood Crescent
Ottawa, Ontario, Canada, K2C 2B5
Attention: Ms. Wafaa H. Antonious
Tel: (613) 225-8889 Fax: (613) 225-9621

	Fees
	Application Form
	SLS Application Form