A fast and convenient way to renew your COPA
membership. We will automatically renew your membership each year and charge it
to either your Visa or MasterCard. This will ensure your membership never
lapses!
Sign up now for your automatic annual renewal and receive $2.00 off your first
year ($55.00 plus applicable taxes).
Please fill out the form below, sign it, print it and return it to COPA by mail
or fax.
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Thinking about a gift for that special pilot? Why not purchase a COPA Gift Certificate? Click below to see a sample - and contact our Membership department to get yours today. Tel.: 613-236-4901, Ext. 105 or E-mail: membership@copanational.org. |
COPA 71 Bank St., 7th Floor, Ottawa Ont., K1P 5N2. Fax: 613-236-8646
| Name: | Member No: | ||||
| GST | HST (NB, NF, NS) | ||||
| Personal Membership | $57.75 ($55.75 1st year) | $62.15 ($60.15 1st year) | |||
| Family Membership | $78.75 ($76.75 1st year) | $84.75 (82.75 1st year) | |||
| Donate to COPA Flight Safety Fund | $ | ||||
| Donate to Neil Armstrong Memorial Scholarship Fund | $ | ||||
|
Total to be charged annually |
$ | ||||
| Please list family members
below if you are applying for a Family Membership. (They will receive a membership number if they do not already have one.) |
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| Name: | Member No.: | ||||
| Name: | Member No.: | ||||
| Credit Card: | Visa | MasterCard | |||
| Credit Card No.: | |||||
| Expiry Date: | Name on Card: | ||||
| I Agree: By signing below you are authorizing COPA to debit your credit card account on your ANNUAL renewal date for a personal ($55.00 plus applicable tax), or a family ($75.00 plus applicable taxes). It is the responsibility of the member to notify COPA of any changes to your credit card. (For example: Expiry Date) Should membership fees increase, you will be notified by mail and will be requested to fill out a new form. | |||||
| Signature: | Date: | ||||