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CSEA/SCÉA Membership Application

Type of Membership

New Membership or renewal

New Membership

Renewal

Name of individual or Organization

Address

City

Province or State

Country

Postal Code

Email Address

Place of Employment

Job Category

Elementary

Secondary

University / College

Consultant / Supervisor

Ministry

Gallery / Museum

Other

Donation

CSEA/SCÉA Membership Application

Total: $