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*Name of the School/Educational Facility the Students are Attending |
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Key Group Membership Contact Information |
Prefix
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*First Name |
Middle Name |
*Last Name |
Suffix |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
*Country
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.
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Student [1] Individual Membership Contact Information |
Name currently unavailable, please contact me directly later for contact information. |
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Prefix
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*First Name |
Middle Name |
*Last Name |
Suffix |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Alternate Contact Information (If unable to contact at this location) |
Same information as above |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
*Country
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.
|
|
Student [2] Individual Membership Contact Information |
Name currently unavailable, please contact me directly later for contact information. |
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Prefix
|
*First Name |
Middle Name |
*Last Name |
Suffix |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Alternate Contact Information (If unable to contact at this location) |
Same information as above |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
*Country
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.
|
|
Student [3] Individual Membership Contact Information |
Name currently unavailable, please contact me directly later for contact information. |
|
Prefix
|
*First Name |
Middle Name |
*Last Name |
Suffix |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Alternate Contact Information (If unable to contact at this location) |
Same information as above |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
*Country
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.
|
|
Student [4] Individual Membership Contact Information |
Name currently unavailable, please contact me directly later for contact information. |
|
Prefix
|
*First Name |
Middle Name |
*Last Name |
Suffix |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Alternate Contact Information (If unable to contact at this location) |
Same information as above |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
*Country
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.
|
|
Student [5] Individual Membership Contact Information |
Name currently unavailable, please contact me directly later for contact information. |
|
Prefix
|
*First Name |
Middle Name |
*Last Name |
Suffix |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Alternate Contact Information (If unable to contact at this location) |
Same information as above |
*Address 1 |
*City |
*State/Province |
*Zipcode+4/Postal Code |
*Country
|
Address 2 |
*Phone |
Fax Number |
*Email Address |
Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.
|
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* Denotes required fields
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Restrictions:
There is a five-year maximum as a Student Member. Existing APWA members will not be allowed to transfer to Student membership without the express written permission of the APWA Executive Director. |
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