Canadian Nuclear Society / Société Nucléaire Canadienne 480 University Avenue, Suite 200, Toronto, ON, M5G 1V2 Web: www.cns-snc.ca Telephone: (416) 977-7620 Fax: (416) 977-8131 E-mail/Courriel: [email protected] “Supporting nuclear science and technology since 1979” “Promotion des sciences et technologies nucléaires depuis 1979”

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ο ______ο Bruce ο Chalk River Home address ______ο Darlington ______ο Golden Horseshoe ο ______ο Business Tel. Ext. Fax Number Home Tel.

ο Ottawa e-mail address ______ο Pickering Membership Fees ο Québec (GST included, number 870488889 RT)

ο For 2009: ο Regular $82.40 ο Sheridan Park ο Retired $48.41 ο Toronto ο UOIT ο Student $27.81 (Free once again for 2009 if verified full-time student at a Canadian institution) Divisions

ο Design & Materials For 2009 & 2010: ο Regular $159.65 ο Retired $91.67 ο Environment & Waste [For couple membership please communicate with CNS office] Management ο Fuel Technologies Method of Payment (PLEASE CHECK THE APPROPRIATE FEE BOX ABOVE): ο Nuclear Operations & ο Cheque payable to Canadian Nuclear Society Maintenance ο Visa ο Mastercard or ο AMEX (payment may be faxed to 416-977-8131) ο Nuclear Science and Engineering Card Number ______Expiry Date:______

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Package sent: Tel.: 416-977-7620 FAX: 416-977-8131 e-mail: [email protected] Website: www.cns-snc.ca