Membership Registration Form APPLICANT:* First Last FIRM NAME:*ADDRESS: Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code OCCUPATION:*OFFICE PHONE:DIRECT PHONE:CELLULAR:FAX:E-MAIL ADDRESS:* WEB PAGE ADDRESS:* I acknowledge that the information above may be posted on the BCEA web page. ANNUAL DUES:MEMBERSHIP YEAR COMMENCES SEPTEMBER 1INDIVIDUAL MEMBERSHIP: Price: $ 75.00 CAD Quantity: CORPORATE MEMBERSHIP: Price: $ 60.00 CAD Quantity: PER MEMBER (To qualify, there must be a minimum of three members from the same firm)Total $ 0.00 CAD Credit card payments will be processed through Paypal. By pressing "Submit", you will be taken to the Paypal webpage. Please note you do not need to create or have a Paypal account to process your payment. Simply press "Pay with Credit Card or Visa Debit" button.