Please download the form and mail it to ACJT-CALT with your payment or complete the following electronic form.
First name (mandatory)
Last name (mandatory)
Phone number (mandatory)
Renewal without modification (Move directly to point 2)Renewal with modification (Please specify)
Name of employer
Area of expertise
I consent to ACJT-CALT publishing my contact information in the members’ directory on its website: www.acjt.caI do not consent to ACJT-CALT publishing my contact information in the members’ directory on its website: www.acjt.ca
Membership dues are $100 per calendar year and the amount may be paid in two ways:
a) Payment by PayPal: Click on the “Send” button at the bottom of the form and follow the instructions;
b) Payment by cheque: please contact firstname.lastname@example.org for instructions on how to proceed.
I plan to pay by PayPal.I plan to pay by cheque.
I certify that all the information provided on this form is accurate to the best of my knowledge.