STUDENT MEMBERSHIP APPLICATION

MEMBERSHIP CRITERIA

Awarded to students who are currently enrolled in a full-time undergraduate academic program and wish to take part in the Associations' activities.

STUDENT MEMBERSHIP JULY 1, 2010 TO MARCH 31, 2011 (nine months only)

For additional information please contact:
Stephen Laramee
c/o RTSO
4505 Paddock Trail Drive
Niagara Falls, Ontario
L2H 3E6

MEMBERSHIP APPLICATION

Name:

Mailing Address:

Phone (Residence):

Phone (Home):

Permanent Address:

(if different from mailing address)

Email Address:

University or College Attending:

Membership in other Associations:

MEMBERSHIP FEES

1st Year Students FREE
2nd Year Student $16.95.00 CDN for 9 Months ($15.00 + $1.95 HST)
3rd Year Student $16.95 CDN for 9 Months ($15.00 + 1.95 HST)
Graduate Students 1st year $16.95 CDN for 9 Months ($15.00+1.95 HST)
Graduate Students 1st year have the option to take the Errors & Omissions Liability Insurance out .
They must pay the Full 9 Month Practicing Membership Fee of $93.75 CDN + 56.70 Insurance + 19.55 HST = Total $170.00
Graduate Students must send their certification to the RTSO office within 7 months.

STUDENT YEAR:

1st Year Student (non-voting) FREE

2nd Year Student (voting) $15.00 + $1.95 HST = $16.95 CDN

3rd Year Student (voting) $15.00 + $1.95 HST = $16.95 CDN

Graduate Student - First Year $15.00 + $1.95 HST = $16.95 CDN

PAYMENT by CHEQUE:

Cheque

HST Registration #107889339 Make cheques payable to: Respiratory Therapy Society of Ontario
Send to: Respiratory Therapy Society of Ontario, P.O. Box 30007, RPO Montrose,
Niagara Falls, ON L2H 0C1

PAYMENT with VISA/MASTERCARD:

VISA or MasterCard

If paying by VISA/MasterCard, please provide the following information:

Cardholder's Name:

Visa/MasterCard No.:

Expiry Date:

RTSO Privacy Notice

Personal Information Protection and Electronic Documents Act (PIPEDA). PIPEDA applies to personal information. It is information about an identifiable individual, but does not include the name, title, and business address or business phone number of an employee of an organization. It does not apply to information about corporations, PIPEDA applies only to individuals. Any personal information collected by RTSO is used solely for the purposes of providing membership services and will not be used for any other purpose without your consent.

The process of collecting and using information about individuals is now more complicated as a result of legislation, the

Terms and Conditions

TERMS AND CONDITIONS
Please read these terms and Conditions of use carefully before using this site. By using this site, you signify your agreement to theses terms and conditions of use. If you do not agree to these terms and conditions of use, please do not use this site. We reserve the right, at our discretion, to change, modify, add, or remove portions of these terms and conditions of use at any time. Please check these terms and conditions of use periodically for changes. Your continued use of this site following the posting of changes to these terms and conditions of use constitutes your acceptance of those changes. These terms and conditions consist of #1 all monies paid must be in Canadian funds #2 There is a no refund policy in effect #3 membership fees are due and payable on the basis of the RTSO annual membership year April 1- March 30.

MEMBERSHIP CRITERIA

MEMBERSHIP APPLICATION

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