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Corporate Platinum Sponsor Membership in the CAHS

Corporate Platinum Sponsor Membership in the CAHS

SKU:

CA$1,000.00

Unavailable

per item

New, Current Renewing, and Former (re-registering) Corporate Sponsor Members may use this registration form.

Please note:

be sure to complete the required registration information immediately below (you can enlarge the text entry boxes using the little "pull tab" at the bottom-right of each box).
additional notes are provided below on the subjects of multi-year membership registration, adding Gift Memberships to your order, or making a donation to the CAHS.

Organization/Institution name *

Membership Number, if known, for renewing or former members

Contact Person full name (first, middle initial, last) *

Contact Person's position / title *

Contact Person's email address (if different from purchaser's email address that will be entered at Checkout)

Mailing address for this membership, if different from the purchaser's address that will be entered at checkout (use line returns to separate street, city, etc as usual)

Street address for this institution (if different from the membership mailing address)

Quantity

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