PCC - Membership Form

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Membership Form

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On-Line Membership Form

Become a Member of Poplar Council

To become a member of the Poplar Council of Canada, complete the following form by typing in the appropriate information, then press rhe 'Submit form' button to send your information to us. The Poplar Council of Canada will contact you shortly after receiving your membership request. Information provided to the Poplar Council of Canada through this form will not be shared, except with other Poplar Council members.

You may also print the PDF membership form, complete it and mail or fax it.

Membership Form

Membership Options

Individual - 1 Year $35	Student - 1 Year $15
Individual - 3 Years $90	Corporate -1 Year $550

Name:
Email Address:
Professional Title:
Department:
Organization:
Postal Address:
Town/City:
Province:
Postal Code:
Telephone:
Fax:

Last edit: 2010-07-09