Council of 3M National Teaching Fellows
Membership Form

The member period is from May 1, 2009 to April 30, 2010

The 3M Council Executive is committed to protecting your privacy;
the personal information you are providing will be used for membership purposes only.

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Section A:
Are you a 3M National Teaching Fellow?
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Section B:

Contact Information:


e.g. A1A 2A2

e.g. (xxx) xxx-xxxx

e.g. (xxx) xxx-xxxx

This field must be completed for proper acknowledgement.
Membership Fee: (Canadian Dollars)
Type
Amount
$70.00 plus 5% GST
Payment Type:


Note:
Once you have completed this form, please click the submit button below. Confirmation of receipt of this form, a printable invoice and mailing instructions will be sent to you by email shortly.


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