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Membership Application / Renewal Form

I hereby apply for / renew membership with the RHSC as indicated........
( * marks required fields )
*Full Name:
Name of spouse:
*Address:
*City:
*Prov/State:  or *Other Prov:
*Country:   *PC/ZIP: 
Telephone (H):   Mobile:
*email:
*Birth Year:          Gender?   M   F
I hearby consent to share my name and email address with Constant Contact, the platform used by the RHSC for the sole purpose of communicating eletronically with its membership. By checking the checkbox, I acknowledge that I have read and understood the purpose of this data sharing, and I grant permission for my information to be used as described.  Check this checkbox to consent: 
 
Questions / Comments / Requests:
Occupation/Profession:    Are You armigerous?   Yes   No
Post Nominals: 
Special Interests/Other Memberships: 

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* * * Pricing information on annual membership * * *
Membership Categories - National FeesFee
Regular (18 years and over)$80.00
Institution (Universities, schools, organizations, libraries)$80.00
Household/Family (resides with regular member)$25.00
Full Time Student$35.00
Additional Postage Fee (For members outside of Canada)$15.00

Additional pricing information on Branch memberships: Should you wish to also join a Branch
(or Branches) of the Society, the fee for each Branch is noted below and must be included with your
national fee when you submit your payments during Step #2.
Branch NameFee
BC/Yukon Branch$20.00
Laurentian Branch$20.00
Ottawa Branch$20.00
Toronto Branch$20.00
Vancouver Branch$20.00