Application for Membership

Individual subscriptions are $30.00 ($35.00 outside Canada) for the calendar year ($25.00 and $30.00 for students and for retired or unsalaried persons). You may also become a Sustaining Member for $50 or a Friend of the Journal for $100 annually. Institutional subscriptions are $45.00 ($50.00 outside Canada) for the calendar year. Subscriptions include annual membership in chea/ache.

Please return this form, with your cheque or money order payable to HSE/RHE, or VISA payment, to:

Managing Editor, HSE/RHE

Faculty of Education

The University of Western Ontario

1137 Western Road

London, Ontario, Canada N6G 1G7

 

 

Name

Department/Faculty (if appropriate)

Institution (if appropriate)

Address

 

City                         Prov/State                     Country                     Postal Code

Home Telephone                                          Fax Number

Work Telephone                                          Fax Number

E-mail

VISA □  payment
Number: ________________________________
Exp. Date: ________________
Signature: _______________________________