Interpretation Canada

Use this form to enroll for a new membership (or to renew an existing membership) with Interpretation Canada. Please use this form instead if you want to provide us with an address change.

* This is a:
New Membership
Renewal

* Name:

* Mailing Address:

* City:

* Province:

Country:

* Postal Code:

Website:

* Your Email Address: (voting member)

Are there others at your site who will be part of this membership? For category descriptions see "About Us"; provide email addresses or names below so they can access IC programs.

2nd Email Address or name - Required for Small Institution/Consultant and Institution/Corporate category memberships

3rd Email Address or name - Required for Institution/Corporate memberships

4th Email Address or name - Optional for Institution/Corporate memberships

* Membership Category:
Please check one; for category descriptions see "About Us"; prices listed are without/with GST (tax) and are in Canadian dollars.

International members do not pay GST; choose the lower rate for your membership category. (Interpretation Canada's GST number is 12289 4504 RT001.)

Institution/Corporate ($180.00/$189.00)
Small Institution/Consultant ($90.00/$94.50)
Individual Professional - One Year (Standard) ($60.00/$63.00)
Individual Professional - Two Years (Renewal) ($108.00/$113.40)
Individual Professional - Three Years (Renewal) ($162.00/$170.10)
Individual Student/Volunteer ($45.00/$47.25)
InterpScan Subscription Only ($70.00/$73.50)

Also add if appropriate:
(***applies to professional and small institution/consultant categories only for one additional family member at the same address; ºººfor institution/corporate, small institution/consultant and student/volunteer categories)

Additional Family Member*** ($10.00/$10.50)
Additional Shipping (US-$15, Overseas-$28)
Additional Year of Membership to total Two Yearsººº
Additional Two Years of Membership to total Three Yearsººº

GST-Exempt Status: (please check only if you reside outside of Canada or if your organzation is GST-Exempt)

Yes, my membership is GST-exempt.

* Choose a Method of Payment:

If appropriate, payment can be mailed to:
Interpretation Canada
c/o Kerry Wood Nature Centre
6300-45th Avenue
Red Deer, Alberta, Canada T4N 3M4

You may also call IC membership administrator Sue Ellen Fast with your credit card information at 604 947-0483 (pacific time zone). This is the fastest route.

Please invoice me.
I will mail a cheque or money order.
I will provide my Visa or Mastercard number by mail or telephone as above.

Additional Comments:

Membership starts in the month that you apply and continues for 12 months unless otherwise indicated. IC will not reveal your information to any third party.
• Please adjust your spam software to allow messages from interpcan.ca to reach you, as email is our usual way of communicating with members.
• Please print a copy of this form now to include with your payment if you are sending it by postal mail, which will take 4-6 weeks as our mail is forwarded on. (For quick access to member programs, call with your credit card info.)
• Click the Finish button below
Thank you for supporting interpretation in Canada!