CISR - Canadian Institute for Synchrotron Radiation / ICRS - Institut Canadien du Rayonnement Synchrotron

Membership Form

date (yyyy/mm/dd)
title:
first name _ initial:
family name:
institution/company:
department:
address (note: only saves 4 rows, 60 columns each)
unit/street
city:
province/state:
country:
postal/zip code:
phone:
fax:
e-mail:
Membership Type [FEE](check only one)

Individual [$ 30 / 2 years]
Student [$ 15 / 2 years]
Institutional supporter [$100 / 1 year]
Institutional trustee [$200 / 1 year]

comments (note: only saves 6 rows 70 columns each)



 

This form does not yet work.

To join the CISR, please print this form _ mail to (please include a check made out to "Canadian Institute for Synchrotron Radiation" for fee payment with application):

CISR
c/o Department of Physics and Astronomy
University of Waterloo
200 University Avenue West
Waterloo, Ontario, Canada
N2L 3G1