Canadian Livestock Records Corporation
2417 Holly Lane, Ottawa, Ontario, Canada K1V 0M7
Tel: (Toll Free) 1-877-833-7110 or 613-731-7110 / Fax: 613-731-0704
clrc@clrc.ca

 
 

 

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Application for Membership Renewal

Application for Membership

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* indicates Required Information

* Association
(Associations not listed do not allow electronic membership renewal)
* Member Name

* ID Number

Name of Voting Member
(Required for Partnerships, Farms and Companies)
* Address
* Town/City

* Province/State
* Postal Code
Zip Code

*Country
Country, if "Other" selected

Phone
  		Fax

* E-Mail

Your Personal Web Page Address, if any

Select Membership Type
(refer to Association Fee Schedule for valid types and fees)

Fees

Please refer to Association Fee Schedule

Current Fee Schedules

* Fee 5% GST
(Canadian residents except NF, NB, NS) 		13% HST
(NF, NB, NS only) 		* Total
Membership



Payment

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Please refer to association fee schedule

Visa
Master Card
American Express

* Credit Card Number    * Expiry Date
* Name on Card

I, or we do hereby apply for membership and do hereby agree to conform to the Constitution and By-Laws of the Association

I agree (Required)

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Canadian Livestock Records Corporation
2417 Holly Lane, Ottawa, Ontario, Canada K1V 0M7
Tel: (Toll Free) 1-877-833-7110 or 613-731-7110 / Fax: 613-731-0704 / clrc@clrc.ca