Société canadienne du dialogue humain-machine
CHCCS / SCDHM
Membership Application
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Canadian Human Computer Communications Society
Société canadienne du dialogue humain-machine CHCCS / SCDHM Membership Application |
Click here for a PDF version of this page.
| Member rate (check one) | |||
| Canadian membership
(residing in New Bunswick, Nova Scotia or Newfoundland) |
. . . | $67.80 CDN/year | (includes HST) |
| Canadian membership
(residing in any other province) |
. . . | $63 CDN/year | (includes GST) |
| International membership
(residing outside of Canada) |
. . . | $60 CDN/year | |
| Member information (complete all fields) | Name | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
| Job Title | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
| Company | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
| Address | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
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| Phone | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
| FAX | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
| Visa or Amex number | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
| Expiry date | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
| Signature | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
Send your completed membership application to the Canadian Information Processing Society (CIPS) at the following address.
| Mail: |
CIPS
5090 Explorer Drive, #801 Mississauga, Ontario L4W 4T9 |
| Phone: | (905) 602-1370 |
| Fax: | (905) 602-7884 |
| Web: | www.cips.ca |
Members who do attend the annual Graphics Interface conference will be eligible for a member discount on registration fees and will receive a copy of the proceedings at the conference.
Members who do not attend the annual Graphics Interface conference will be mailed a copy of the proceedings as a member benefit in lieu of a member discount on registration fees.