AGM Registration Form

Please fill out the following:
Fields marked with * are required.

I would like to attend as an:
     Organization representative
     Individual
I would like to become a SCY member or renew my membership:
     Yes (if yes, SCY will issue a receipt upon receipt of cheque)
     No, not at this time

Annual membership fee: $10 Individual, $25 Organization
Name *
Organization
Address *
City *   State/Prov. *
Country *   Zip/Post. Code *
Phone *
E-mail *
Comments

Thank you for completing the registration. We look forward to seeing you at the AGM.