2019 Membership Application
or
Renewal Form & Dues Schedule / Invoice

  Company Name:
  Address:
  City:
  Province:
  Postal Code:
  Phone:
  Fax:
  Email:
  Website:
  Principal Contact:
  Alt Contact:
  AB WCB:
  BC WCB:
  SK WCB:
  AB Industry Code:
  COR / BSP#:
  Multiple Categories Allowed (highest fee prevails)
Dues
GST
Total
  
  Seismic Data Acquisition
  Number of Crews: (Default 0)
 
  1 to 2
$5000.00
$250.00
$5250.00
 
  3 to 4
$7500.00
$375.00
$7875.00
 
  5 or More
$9500.00
$475.00
$9975.00
  ERAP
$5000.00
$250.00
$5250.00
  Survey
  Number of Employees + Consultants: (Default 0)
  Line Cutting
  1 to 2 (Single Drill Truck or Consultant)
$650.00
$32.50
$682.50
  Service & Supply
  3 to 5
$1500.00
$75.00
$1575.00
  Pipeline Locators
  6 to 25
$3000.00
$150.00
$3150.00
  Driller
  26 to 99
$5000.00
$250.00
$5250.00
  Consultant
  100+
$8000.00
$400.00
$8400.00
 
  Seismic Land and Field
$2500.00
$125.00
$2625.00
   OTHER
  Oil / Resource Companies
$4285.71
$214.29
$4500.00
  Other Associates
$1500.00
$75.00
$1575.00
  Processors
$650.00
$32.50
$682.50
  Instructor / QST / SFOS / SPA
$200.00
$10.00
$210.00
  Sole Proprietor / Individual
$200.00
$10.00
$210.00
   CAGC DONATION
   Would you like to make an Additional Donation for CAGC Sustainability?
Yes
No
   If Yes, please indicate the amount in dollars.
$.00
 

WHEN SUBMITTING THIS FORM WE AGREE TO ABIDE BY THE BYLAWS OF THE ASSOCIATION.

As required by legislation, be aware that you are giving consent for the collection and use of the personal information on this form for the purpose of CAGC membership.

Membership implies consent to receive membership emails. Some emails may contain commercial offerings.
Should you wish not to receive such emails you may reply to any such email with the word "unsubscribe" in the subject line to be removed at any time.

 
  VISA / MasterCard Number:
  Expiry Date:
  CVV:
  Name on Card:

6806 Railway Street SE, Calgary, Alberta   T2H 3A8     Email: info@cagc.ca     TEL: 403-265-0045  

GST #: 123062770

Please review your information before clicking "SUBMIT".






 
Developed by