Canadian Association of Energy and Pipeline Landowner Associations

BECOME AN ASSOCIATE MEMBER TODAY!

To pay by credit card, simply fill out the information categories below and click the PROCEED button.
You will then be taken to a secure website.

*Required Fields

CONTACT INFORMATION
Name:*
Farm/Business Name:
Address:*
City/Town:*
Province:*
Postal Code:*
Phone:
Email:*
Land Location:
RM / County:

MEMBERSHIP AND DONATION INFORMATION
I would like to:
	Count me in as an associate member ($150.00 + $7.50 GST)
	I also enclose a one-time contribution of: $ (please enter amount only without $ sign)
	I would like to make a donation to CAEPLA's National Energy Board Project of: $ (please enter amount only without $ sign)
	I would like to make a donation to The Saskatchewan Surface Rights Project of: $ (please enter amount only without $ sign)

If you prefer to pay by cheque, please makes cheques payable to CAEPLA. Mail your cheque to
CAEPLA, Administration Office, #257-918 Albert Street, Regina, SK S4R 2P7.

You will receive a receipt and introductory letter from CAEPLA and be added to our regular mailing list.