Membership Application

To apply to become a Member, please fill out the registration form below and CHMSE will contact you to complete your profile and process payment: *

* Standard Annual Fee = $359.00 plus $25.00 one-time application fee plus $49.92 HST
* Two-year payment opportunity = $600.00 plus $25.00 one-time application fee plus $81.25 HST
* Long Distance Annual Fee = $159.00 plus $25.00 one-time application fee plus $23.92 HST
(limited to applicants based more than 80 km distance from Toronto City Hall)
* Associate (college/university) Annual Fee = $259.00 plus $25.00 one-time application fee plus $36.92 HST

Click here to learn more about the benefits of membership.

First Name:
Last Name:
Title (position):
Company:
Business Address:
City:
Province:	Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Terr Nunavut Nova Scotia Ontario P.E.I. Quebec Saskatchewan Yukon
Postal Code:
Business Phone:	e.g. (613) 555 6789
Business Fax:	e.g. (613) 555 6789
E-mail:
Website:
Company Profile:	Max 255 Characters.
Job Description Profile:	Max 255 Characters.
Please see our Member Definitions before choosing the type of membership you require.
Type of Membership:	Select Membership Hotel - $359.00 + $25 + tax Hotel [2 years] - $600.00 + $25 + tax Long Distance - $159.00 + $25 + tax Affiliate (supplier) - $359.00 + $25 + tax Affiliate [2 years] (supplier) - $600.00 + $25 + tax Associate - $259.00 + $25 + tax Honourary Member - N/A
Your School:	Please select your school Centennial College George Brown College Humber College Seneca College
Professor who Recommended/Referred you to CHMSE:
Email Address (Professor):
* Student membership subject to Professors recommendation/referral and Board approval.
How did you hear about CHMSE:	Select an option Current Member Friend Event Twitter Search Engine Other
Please list the name, company and phone number of the member who referred you:	Max 255 Characters.
Select Method of Payment: Cheque Please make cheque payable to "CHMSE" and send payment to: CHMSE 26 Avonhurst Rd Toronto, ON M9A 2G8 Pay Online Complete payment online after finalising your registration   (HST #864539440)
I have read and agreed to the Terms and Conditions I have read the Privacy Policy I consent to receiving membership information, event invitations and any other communications via email.