NATIONAL ETHNIC PRESS AND MEDIA COUNCIL OF CANADA
Conseil
National de la presse et medias ethniques du Canada
Canadas
Other Voices
P.O.BOX 266, STATION
O, TORONTO. ON. M4A 2N3
APPLICATION FOR MEMBERSHIP
SURNAME
NAME
ADDRESS
Contact Information:
Bus. Tel. ( )
.
Home: ( )
..
E-mail:
...Web
Site:
Citizenship:
Canadian:
Other:
Representing
Publication or Electronic
Media
Language of
Medium
..
Position of
Applicant
Profession: (if
other)
..
How many years in
Journalism:
Brief professional
experience:
.
Sponsored by:
1
2
I
..do
certify and assure the Board that I have no past or outstanding criminal
convictions in Canada.
Signature
of Applicant.
Date
Please enclose
two copies of the last two issues of your publication
For Internal Use only
Accepted:
Yes
No
Date of Acceptance:
Signatures of the members of the
Admission Committee:
1.
2.
3.
Please enclose a cheque of $ 25.00
dollars for membership per annum.
Please be advised that every
medium has only one vote at the general elections
