CANSCAIP
Canadian Society of Children’s Authors, Illustrators and Performers<br>La société canadienne des auteurs, illustrateurs et artistes pour enfants
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CANSCAIP Member Application Form

Yes! I'd like to become a CANSCAIP Full Member!

Name:
Organization:
Address:
City:
Province:
Postal Code:
Email:
Phone:

*If you are not a published author or illustrator or a professional performer, please apply for a Friend (associate) membership.

Please check one or more: Author Illustrator Performer

I was a Full CANSCAIP Member in the past: Yes No

How would you prefer to receive your copy of the CANSCAIP newsletter?

Regular Mail Email (We encourage email delivery for environmental reasons.)

Please list your latest relevant publications and/or performances, including publishing information and dates published or performed:

Work awaiting publication:

In addition, your application must include: a 150-word biography (paragraph form, third person) emailed to the CANSCAIP office at office@canscaip.org, a 300-dpi or higher photo to be kept on file for the CANSCAIP NEWS (optional), and a cheque or credit card payment.

Membership fee: $85.00

I would also like to make a donation to CANSCAIP: Yes No

(A tax receipt is provided.)
Donation Amount:
Total Paid:
Visa/MC No.:
Expiry Date:

Mail this form, with accompanying cheque or credit card information, to CANSCAIP at:
104-40 Orchard View Blvd.
Lower Level Entrance
Toronto, ON
CANADA
M4R 1B9

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Content Copyright © 1996-2011 CANSCAIP

104-40 Orchard View Blvd., Lower Level Entrance, Toronto, ON, CANADA, M4R 1B9
Phone: 416-515-1559, Email: office@canscaip.org

 
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