^{ISPI Vancouver 2007–08 Membership Form}

Please provide the following information about yourself: (* = required fields)
Name: *
Organization:						Title:
Street Address:
City:						Province:			Postal Code:
Work Phone: *	(      )					Fax:		(      )
Home Phone:	(      )					Cell Phone:		(      )
Email: *
Website:
Members volunteer at least 4 hours per year. Please indicate your preferred area:
Communications					Logistics					Programs
Membership		Technology			Other:
Annual Chapter Membership Dues:  $120.00
Please indicate if you qualify for reduced membership dues in one of the following three ways:
I am currently an International ISPI Member:  $90.00
I live outside the Lower Mainland of British Columbia:  $90.00
I am currently a registered full-time student:   $90.00							Institution:
Student Number: ___________________ Membership Year ends September 30, 2008.
Please send your completed form and cheque to ISPI Vancouver Past-President:
Margy Hayden #422 — 151 West Esplanade North Vancouver, BC V7M 3H9
Amount enclosed:			$	Make cheques payable to ISPI Vancouver. Thank you!