Corporate Member Signup

* All Fields are Required to Submit Form *
Last Name:
First Name:
Initials:
Email Address:
Company:
Company Phone:
Company Fax:
Company Address:
Company City:
Province:
Company Postal / Zip:

Home Address:
Home City:
Province:
Home Postal / Zip:
Comments:
Method of Payment:	Cheque	Credit Card

Cheques/Money Orders can be mailed to:

Canadian Well Logging Society
Scotia Centre
2200 - 700 - 2nd Street SW
Calgary, Alberta
T2P 2W1

Credit Card Payments

For security reasons a CWLS representative will contact you personally for credit card information.
We apologize for any inconvenience.