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Canadian Gas Processors Suppliers Association |
G.A.S Member Application for 2004-2005 CGPSA Associate Membership |
NAME OF CORPORATE MEMBER COMPANY:
Gas Alumni SocietyCITY: Calgary
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FIELDS MARKED ***
MUST BE COMPLETED!
G.A.S. MEMBER INFORMATION:
NAME: _________________________________________________________________________________ ***
G.A.S. Position (e.g. Member, Executive, etc.) : ________________________________________________
ADDRESS: ________________________________________________________________ ***
_________________________________________________________________________ ***
Telephone:___________________________ *** Fax: ________________________________
COMPANY (If Applicable)___________________________________________________
E-Mail:
__________________________________________________________________
(Please note: your e-mail address will not be advertised - it is for
the Association's internal use only)
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Each G.A.S. Primary/Associate CGPSA Membership is
Cdn $9.63 ($9.00 +
GST, Reg# R122233109)
Applicable dues must accompany application. New and renewal membership applications for
2004 will be accepted after April 1, 2004. These memberships are valid until June 30,
2005.
¨ THIS IS A REVISION ¨ THIS IS A RENEWAL
¨ RECEIPT REQUIRED
Remit Application and Payment to:
CGPSA – c/o Bruce Parsons
- Membership Director
Gas liquids Engineering ltd.
#300, 2749 - 39th Avenue NW
Calgary, Alberta, T1Y 4T8 Telephone (403)
250-2950
PLEASE VERIFY WITH YOUR ACCOUNTING DEPARTMENT THAT THIS IS THE ADDRESS THEY WILL BE USING!