MEMBERSHIP FORM AND INVOICE 2007-08

Program:_____________________________________________________

Institution: ___________________________________________________

Invoice Contact Name: __________________________________________

Title: _____________________________________
(name and title of individual who should be sent invoices)

Primary Membership Contact
Name: _______________________________________________________

E-mail: _______________________________________________________
(Contact for all other CAPPA correspondence, if different from invoice Contact)

Program Web site URL: ___________________________________________________________
(URL to be used for links on CAPPA Web site)

DUES
Affiliation Fees 2007-08
Canadian Association Of Programs In Public Administration (CAPPA)

• Programs with a graduate component: $500
• Other university or college programs: $250
  

PAYMENT METHOD
___ Cheque ___ Visa ___MasterCard ___ Amex

Card no. ______________________________

Expiry Date____________________________

Signature _____________________________

If paying by cheque, it should be payable to CAPPA and sent to
CAPPA, c/o Department of Management
University of Toronto at Scarborough
1265 Military Trail
Toronto, ON M1C 1A4
Attn: Prof. S. Borins
(tel. 416-287-7362)

If paying by credit card, send this form to:
IPAC
1075 Bay St. Suite 401
Toronto, ON M5S 2B1
(tel. 416-924-8787, fax 416-924-4992)

If you have any questions concerning this invoice, call:
Christine Michaty, 416-924-8787 • fax 416-924-4992 • ntl@ipaciapc.ca

THANK YOU FOR YOUR MEMBERSHIP!