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CTLA Membership Application
from TLA TTL July 2022
by KellenComm
MEMBERSHIP APPLICATION
Contact Information/Coordonnees
Name of Applicant Nom du requerant Date of Birth Date de naissance Company or Law Firm & Street Address Compagnie ou Societe, & Rue Address City, Prov, Postal Code Ville, Prov ou Etat, code postale Work Phone No. de telephone d’affaires Email Address Courriel
Membership Category/ Categorie de member
_____________________________________________________________________________________
Private Sector Lawyer (Canadian Resident) Non-resident Lawyer Government/ Public Sector Lawyer Young Lawyer (in practice 5 years or less) Law Student or Articling Student $225 _____ $225 _____ $225 _____ $150 _____ $100 _____
Professional Status / Statut professionel
In the year _______, I was admitted to practice as a Barrister and Solicitor or Attorney-at-Law by the Bar or Law Society of ___________________________, and I remain a member in good standing. I am engaged in and/or interested in transportation law, regulatory policy and procedure. En l’an ________, j’ai ete admis pour pratiquer comme advocat(e) par le Barreau de ______________________, et je suis un member en regle. Je suis implique et/ou m’interesse au droit du transport ainsi qu’aux reglementations et procedures qui s’y rapportent.
JOIN ONLINE AT https://ctla.ca/join Payment Details/ Paiement
_____________________________________________________________________________________
___ VISA___MC
___Amex ____CHEQUE make payable to / A l’ordre di CANADIAN TRANSPORT LAWYERS ASSOCIATION
Cardholder Name: __________________________________________________ Card Number: ________________________________________ Expiry Date: ____________________________ CSV Number (3 or 4 digits): __________________________ Signed: ________________________________________________ Date:_____________________
Please deliver completed application form with payment to:
CANADIAN TRANSPORT LAWYERS ASSOCIATION
c/o Isaacs & Co., 7099 Richmond Crescent, Niagara Falls, ON L2G 5W5 c/o Carole McAfee Wallace Attention Lisa Isaacs, CMP Fernandes Hearn 155 University Ave., Ste. 700,Toronto, Ontario M5H 3B7
Tel (647) 523-3832 Email: lisabplanning@outlook.comTel: (416) 203-9551 | Email: carole@fernandeshearn.com
