Membership Application **This form is not to be used if you are replacing an existing member. If so, please email the EDAC office (firstname.lastname@example.org) with your information.ProfileFirst Name*Last Name*Email* Title*GenderMaleFemalePhoneFaxWebsite OrganizationOrganization*Street Address*City*Province*N/AAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code*Additional Member Information Applying as an additional member? If you are applying as an additional member, please include the name and title of the person in your organization holding Principal Membership status:Name*Additional Member Title*Membership FeesSelect from the following Membership types*Principal Member $374.50 + applicable taxes / yrPrincipal Member with an annual operating budget less than $100,000. $214.00 + applicable taxes / yrPrincipal Member with an annual operating budget less than $50,000. $107.00 + applicable taxes / yrAdditional Member $160.50 + applicable taxes / yrAdditional Member - three or more $107.00 + applicable taxes / yrStudent Member (full-time student, not fully employed) $80.25 + applicable taxes / yrSub TotalTaxes I cannot pay online If you unable to make this purchase online, please check this box and proceed. EDAC will be in touch to send you an invoice shortly.Invoice TotalPayPal Total Price: $ 0.00 CAD CommentsThis field is for validation purposes and should be left unchanged.