The Catholic Principal's Council of Ontario

www cpco.on.ca

Application Form

Membership Application
Associate Application

Contact Information

Gaby Aloi,
Office Supervisor
161 Eglinton Avenue East
Suite 400
Toronto, Ontario
M4P 1J5

Telephone: 416-483-1556
1-888-621-9190 ext. 26
Fax: 416-483-2554
Email:

Associate Membership Renewal Form 2010


* Renew Associate Membership?


CPCO Associate Membership fees for the period January 1, 2010 to December 31, 2010 are $118.50. For those members who join between the 1st and 15th of the month, fees will be pro-rated from the first day of the month in which the application for membership was made at a rate of $9.87 per month e.g. if you join March 11th, fees will be payable for the period March 1st to December 31st at a rate of $9.87 per month totaling $91.60. Members registering between the 16th and last day of the month, fees will be pro-rated from the first day of the following month i.e. if you join March 20th, fees will be payable for the period April 1st to December 31st at a rate of $9.87 per month totaling $88.83.

Please note that an associate membership is required in order to continue with benefit programs offered through Johnson Inc. (e.g. Life insurance).

Please advise CPCO of any change in contact information.

Please complete and return this form along with payment to Gaby Aloi at CPCO.
Please be advised that applications will be processed once payment has been received by CPCO.

Cheques should be made payable to CPCO
161 Eglinton Avenue East, Suite 400, Toronto, Ontario M4P 1J5
416-483-1556 or 1-888-621-9190

Fields that are marked with * are MANDATORY.

* Please indicate which category you belong to.




***Please note that if you do not belong to one of the above categories,
you are not eligible for associate membership at this time.


HOME INFORMATION
*First Name
*Last Name
*Date of Birth (format: MM/DD/YYYY)
*Home Street Address
Address 2
*City
*Province
*Postal code
*Home Telephone
(format eg. 416-483-1556 )

Home Email
(For Listserv Purposes)



BOARD / SCHOOL / BUSINESS INFORMATION
(If Applicable)
Board
* Panel
* Board / School / Business Name
Board / School / Business Street Address
Board / School / Business Address 2
Board / School / Business City
Board / School / Business Province
Board / School / Business Postal Code
Board / School / Business Telephone
(format eg. 416-483-1556 )
Board / School / Business Fax
(format eg. 416-483-1556 )
Board / School / Business E-mail
Effective Date

(month/day/year   eg. 01/17/1940)


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