ADRCanada
Application for Corporate Membership
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Organization Details

Organization:_______________________________________
Street Address:_____________________________________
City / Province: _____________________________________
Postal Code: ________________________________________
Website: ___________________________________________
Tel: _______________________ Fax: ____________________

Contact Name: ______________________________________
Email: ______________________________________________
Tel: _______________________ Fax: ____________________
Signature: __________________________________________


Member Profile

Corporations
Public
Private 		Law Firms
More than 20 Lawyers
20 Lawyers or less 		Other Organizations
Government
Non-Profit


Membership Category

Public Corporation or Law Firm with More than 20 Lawyers
All other categories 		$1,000
$500
Please add GST (and HST if applicable)
GST #R125294660


Please send, together with your cheque, to:

ADR Institute of Canada, Inc.
Suite 405 - 234 Eglinton Avenue East
Toronto, Ontario M4P 1K5
Tel: 1-877-475-4353; Fax: 416-487-4429
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