Federation for the Humanities and Social Sciences
200 - 141 Laurier Ave W
Ottawa ON
K1P 5J3

Telephone
613-238-6112

Fax
613-238-6114

Forum is provided by the Federation for the Humanities and Social Sciences.

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Sample Membership Form

This is a sample form.

Account Information

Do you already have an account?

If you have already created an account with us, please enter your e-mail address and password to log in. If you have forgotten your password, please click below to reset your password.

Email:

Password:

Reset password

Login information

If you have not created an account with us, please fill out the information below. Items in bold are mandatory.

Email:

Password:

About you

Salutation:

Example: Mr., Ms., Dr.

First Name:

Last Name:

Language of Preference:

English French

Phone:

Your position

Institution/Organization:

Department/Faculty:

Job Title:

Your address

Address Type:

Work Home

This address is outside of Canada

This address contains a rural road or PO Box

Street:

Unit:

City:

Province:

State:

Country:

Postal Code:

Address Preview:

Membership category

[add a description about how great it is to be a member]

Membership category:

Select one:

Subscribe to our mailing list?:

Yes
No

Example of a paragraph question:

Example of a text question:

Example of a drop-down list:

Example of a radio button:

Choice 1
Choice 2

TOTAL:

$0.00 $

New Group

Donate:

Special Fund:

TOTAL:

$0.00 $