RENEWAL / APPLICATION FORM

This form is provided for you to use when renewing, and to post or forward to others who might be interested in joining. Please feel free to renew or join for more than one year if desired: this will cut down on administration and the need to send you reminders every year. Donations are also gratefully accepted (the SCO is a registered non–profit society and issues tax receipts).

*Required Fields
 
Salutation/Greeting  
First Name*  
Middle Initial  
Family/Last Name*  
SurTitle  
Occupation*  
   

Address Line 1*  
Address Line 2  
Address Line 3  
Address Line 4  
   

City*  
Province/State    
Post Code/Zip*  
Country*  
   

  Phone Format
For North America (area code + local number):
780 555 5555
For International (country code + number):
China 86 10 69445464
France 33 06 87 71 23 45
Nigeria 234 080312345
United Kingdom 44 07700 954 321
Phone*  
SecondPhone  
Fax  
E-mail Address*  
Affiliation*  
Web Address  
   

Membership Categories (in Canadian Dollars)*

     
Student   years @ $10.00 per year $
Regular   years @ $25.00 per year $
Sustaining   years @ $50.00 per year $
Life member   once  @ $500.00 $
     

Donations

     
General donations to the society $
Jamie Smith Memorial Mentoring Award in Ornithology $
Doris Huestis Speirs Award $
   
Student Research Award
     Taverner Awards $
     Fred Cooke Award $
   

All donors of $10.00 or more will receive a receipt for tax purposes; sustaining members will receive a $25.00 receipt for tax purposes for each year of sustaining membership, and life members will receive a $250.00 receipt. The SCO is a registered non–profit society and issues tax receipts.

 

Payment Details

Card Type
Name on Card
Credit Card
Expiry Date YYYY MM
CVV