First Name
Middle Initial
Last Name
Address
Suite #/Apt.
City
Prov/State
Postal/Zip Code
Country
Phone
Mobile
Work number
Email Address
Member Type:Individual $40Family $60Youth Student $15Associates $35 (NON VOTING)

Payment Information

Membership $
+ AAS (see over) $
+/or donation $
TOTAL AMOUNT: $
By Credit Card: Card #
Exp. Date (MM/YY):
CVV#:
on back of card
By cheque: Please make cheque payable to P.A.C.E. Canada

Receipts will be issued for Tax purposes

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P.A.C.E. Canada, 1390 Eglinton Avenue West, Toronto, ON M6C 2E4. Email: info@pacecanada.org

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