2012 Section Membership Form

MEMBER DETAILS

Name: *

  

Company:

  

Address:

  

City:

  

State/Province:

  

ZIP/Postal Code:

 

Country: *

  

Telephone:

  

Email: *

  



SECTION SELECTION

Cost to join each section is 50 CA$ per year for the period of 1 January 2012 to 31 December 2012.

AFIR/ERM (Financial Risks Section)
ASTIN (Non-Life Insurance Section)
AWB (Actuaries Without Borders)
IAAHS ( Health Section)
IACA (International Association of Consulting Actuaries)

          Do you also wish to be a member of the Asia Pacific Association of Consulting Actuaries (APACA)? APACA is a sub-section of IACA and there is no extra cost to join.
          YES NO

LIFE (Life Section)
PBSS (Pensions, Benefits and Social Security Section)

TOTAL AMOUNT DUE: CA$




PAYMENT DETAILS

I wish to pay by :

Visa      Mastercard      American Express
Card Number:   (do not enter any spaces)
Card Expiry:   (enter MMYY)
Cardholder's name:  
     

If you would like to pay by Wire Transfer or by Cheque, please contact Christian Levac for further instructions.

 

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