Membership form Reference period: June 1st 2020 to May 31st, 2021 To confirm your membership, please send a check made to the order of the MALL at the following address: MALL, 800 Square Victoria, C.P. 482, Montréal (Québec) H4Z 1J7. Name* First Last Company or organization Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code PhoneExtension FaxEmail address* Send me a copy of form Yes Contribution* Active member (50,00$ per year) Associated member (125,00$ per year) Student member (20,00$ per year) ** Read By-LawHiddenListserv I want my name on the MALL's listserv. Δ