The member period is from May 1, 2010 to April 30, 2011

The EDC is committed to protecting your privacy; the personal information you are providing
will be used for STLHE membership purposes only.

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Section A:

Are you a current STLHE member?
Access Membership Directory

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If you answered "No", please complete the STLHE online membership form.

If you answered "Yes", proceed to Section B.

Section B:

Last Name:

First Name:

Primary Occupation:

if Other, please specify

Contact Information:

Institution:

Institution Type:

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Department:

Address:

City:

Province/State:

Country

Postal/Zip Code:

e.g. A1A 2A2

Business Telephone:

e.g. (xxx) xxx-xxxx

Extension:

Fax:

e.g. (xxx) xxx-xxxx

Email:

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EDC National Listserv

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Membership Fees: (all prices are listed in Canadian Dollars)

	Type	Canada	Outside Canada
checked="checked">	Regular Member	$50.00 plus 13% HST	$66.00 plus 13% HST
checked="checked">	Retired Member	$25.00 plus 13% HST	$33.00 plus 13% HST
checked="checked">	Student Member	$25.00 plus 13% HST	$33.00 plus 13% HST

Payment: STLHE accepts VISA, Mastercard and American Express

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