CSAFM Membership Application

Name:
Street:
City:
Province:
Postal Code:
Telephone (Office):
Telephone (Home):
FAX:
E-Mail:
Employer:

CSAFM Membership Type (Check one)
Regular ($20.00)
Student ($5.00)

Please indicate if you belong to the organizations listed below by checking the appropriate boxes.
CMOS
AMS
Fluxnet-Canada

* Recipients of the CSAFM Fellow award are honourary life members.

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Please print this form and mail it, with your cheque, to:
Elyn Humphreys
Department of Geography and Environmental Studies
Carleton University
B349 Loeb Building
1125 Colonel By Drive
Ottawa, Ontario
Canada, KlS 5B6
email: Elyn_Humphreys@carleton.ca