TESL Ontario Membership Application Form | |||||||||||||||||||
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| Affiliate Choice (indicate 1 only) | |||||||||||||||||||
| Durham Hamilton/Wentworth Kingston London Niagara North York/York Region |
Ottawa Peel/Halton/Etobicoke Sudbury Toronto Windsor Not Affiliated | ||||||||||||||||||
| Teaching Level (indicate 1 only) | |||||||||||||||||||
| Pre-School Elementary Secondary LINC Adult Credit |
Continuing
Education College/University Private School | ||||||||||||||||||
| Selected Fee (indicate 1 only) | |||||||||||||||||||
| Regular Volunteer Student Friends of TESL |
Business Library Immigrant Services International Joint | ||||||||||||||||||
| Amount
Enclosed:$______________________ Payment may be made by cheque or VISA. Visa#:______________________________ Expiry Date:________ Signature:_____________________________________________ Willing to Volunteer: | |||||||||||||||||||
| For
Office Use: Membership Rec'd__________________ $_______________ Expiry Date:________________ (month/year) Paid by: Cheque Cash Visa GST REGISTRATION NUMBER R126198043 | |||||||||||||||||||
| Fee
Schedule (includes GST) REGULAR (within Canada) $84.00 VOLUNTEER* $58.00 STUDENT** $58.00 FRIENDS OF TESL (retired/unemployed) $58.00 BUSINESS (educational publishers) $373.00 LIBRARY $79.00 IMMIGRANT SERVICES (non-government agencies) $89.00 INTERNATIONAL (living outside Canada) $100.00 Notes:
Please send this form with your cheque (payable to TESL Ontario/Membership): TESL Ontario/Membership | |||||||||||||||||||