COGENCanada CHP Association

promoting Key Conservation, Reliability and Environmental Solutions
481 Valade Crescent, Ottawa, ON K4A 2W9
Tel: (613) 686-5692 Fax: (613) 523-7249
www.cogencanada.org membership@cogencanada.org

Membership Application 2010




Main ContactEmailTelephone
AlternateEmailTelephone
OrganisationWebsiteFax
AddressCityProv./State
Postal Code/ZIP


Membership Group (check one)

Rate Group 1
($1250)
 Rate Group 2
($1100)
 Rate Group 3
($950)
 Rate Group 4
($500)
 Rate Group 5
($250)
Steam Gen, Thermal Power, Cogen Plants EPC Contractors Engineering Firms Sole Proprietors Retirees
Steam Using Plants Municipal Utilities Educational Institutions Incorporated Individuals Students
Equipment and Services Suppliers Industrial Developers Law Firms Not-for-profit Incorporations
  Economic Planning Departments Economics Firms
    Research Groups
    Energy & Environmental Departments

Fees Payment
PayPal (takes credit card payments)
(5% GST is automatically added)


Membership

Cheque (add 5% GST, Canada only)

please make cheques payable to COGENCanada Inc.
mail to: COGENCanada, 481 Valade Crescent, Ottawa, ON K4A 2W9 Attn: Membership

If paying by cheque please enclose a copy of the completed form.

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