ࡱ> ^`] bjbj %frr`````ttttDDt5j:6666$Q z`"``66y `6`66pߧQA05, d  `U5  &:  MEMBERSHIP APPLICATION FORM  SHAPE \* MERGEFORMAT  VRƵ Faculty Club & Conference Centre 3450 McTavish Street / Montral, QC H3A 1X9 Phone: (514) 398-5537 Fax: (514) 398-5105  HYPERLINK "http://www.mcgill.ca/facultyclub" www.mcgill.ca/facultyclub B: Alumni and Business Professionals Prof.  Dr.  Mr.  Mrs.  Ms.  Given Name(s) Surname Office Address : ___________________________________ ______________________________________________  Work#___________________ E mail _____ Home Address : ___________________________________ ______________________________________________  Home Phone: _________________________  VRƵ Affiliation or Connection:  Please indicate address to which monthly statements should be mailed Home: Office: I hereby authorize the deduction of the annual membership dues and house accounts payment via cheque (payment due within 30 days) or credit card (automatic payment taken in the 1st week of each month when statements are released) In the event of payment by cheque a valid credit card will be needed. Please fill out the credit card form attached. Signature: ____________________ Date: _________________________ NOTE: All annual membership dues are charged yearly in June. All VRƵ statements of accounts will be sent to the address checked above. No statements will be sent to the credit card payers (unless requested) Payment is deducted automatically. All renewal membership that would like to be cancelled must be done prior to April 1st of every year. No reimbursement will be issued after this date. This must be done via e-mail. Please send via e-mail to Natasha Sharma (Membership Services) It is the members responsibility to inform of us of any address changes. To replace a membership card there is a fee of $5.00 plus taxes Members are encouraged to follow the Hours and Rules of the Faculty Club which are indicated on the website of VRƵ Faculty Club. For inquiries regarding membership: Natasha Sharma at Membership Services. Tel.: (514) 398-6388  HYPERLINK "mailto:/natasha.sharma@mcgill.ca" /natasha.sharma@mcgill.ca  !89:<EF׻lV@V%V4jh3D"ho5CJOJQJU^JaJmH sH +h3D"hb5CJOJQJ^JaJmH sH +h3D"ho5CJOJQJ^JaJmH sH (hohoCJOJQJ^JaJmH sH Bjh3D"ho5CJOJQJU\^JaJmHnHsH tH u.h3D"ho5CJOJQJ\^JaJmH sH 7jh3D"ho5CJOJQJU\^JaJmH sH .hoho5CJOJQJ\^JaJmH sH  hohoOJQJ^JmH sH Fn  8 9 ? y%$ 5 zJ Z*j :# &($Ifa$ d7$If&$ 2 zJ Z*j :# &P]Pa$gdo$a$gdo*$ 2 zJ Z*j :# &P]P^a$gd&      7 8 工p[F[[[1(h3hoCJOJQJ^JaJmH sH (h3h"CJOJQJ^JaJmH sH (h3h=CJOJQJ^JaJmH sH +h"h=5CJOJQJ^JaJmH sH hChC5OJQJ%hC5CJOJQJ^JaJmH sH "h"CJOJQJ^JaJmH sH +h3D"ho5CJOJQJ^JaJmH sH /h3D"ho0J5CJOJQJ^JaJmH sH 4jh3D"ho5CJOJQJU^JaJmH sH ? @ A B F G H L M N S T U Y Z [ i j r %$ 5 zJ Z*j :# &($Ifa$ d7$If" 5 zJ Z*j :# &($Ifr s t RI''" 5 zJ Z*j :# &($If d]$Ifkd$$If֞ j* y(`````  )4 a1yto % & ' Z [ OkdU$$If0y( )4 a1yto d]$If" 5 zJ Z*j :# &($If  $ % & 3 Y Z ( 1 ֕փq\GGG֕֕(h3h<CJOJQJ^JaJmH sH (h3h"CJOJQJ^JaJmH sH "h=CJOJQJ^JaJmH sH "h"CJOJQJ^JaJmH sH (h3hvCJOJQJ^JaJmH sH +h3ho>*CJOJQJ^JaJmH sH +h3h=>*CJOJQJ^JaJmH sH (h3h=CJOJQJ^JaJmH sH (h3h&CJOJQJ^JaJmH sH  `$ 5 zJ Z*j :# &(:$If d]$IfOkd$$IfO0y( )4 a1yto" 5 zJ Z*j :# &($If R S pH'$ 5 zJ Z*j :# &(]a$gd3+$ 5 zJ Z*j :# &(]^a$gd&'$ 5 zJ Z*j :# &(]a$gd&:kd$$If())4 a1yto1 ? @ Q R S w   9  íp^L^6^L+hhCJH*OJQJ^JaJmH sH "hw6CJOJQJ^JaJmH sH "hCJOJQJ^JaJmH sH "hJ:CJOJQJ^JaJmH sH (h3h<CJOJQJ^JaJmH sH +h3h<>*CJOJQJ^JaJmH sH +h3ho>*CJOJQJ^JaJmH sH +h3h=>*CJOJQJ^JaJmH sH (h3h=CJOJQJ^JaJmH sH "h3CJOJQJ^JaJmH sH S _&$ 2 zJ Z*j :# &P]Pa$gde&$ 2 zJ Z*j :# &P]Pa$gd3*$ 2 zJ Z*j :# &P]P^a$gd<*$ 2 zJ Z*j :# &P]P^a$gd   d h ǯǚp[F1F(hw6h]dCJOJQJ^JaJmH sH (hw6hCJOJQJ^JaJmH sH (hw6hB%CJOJQJ^JaJmH sH (hw6hCCJOJQJ^JaJmH sH (hw6h:CJOJQJ^JaJmH sH (hw6h<CJOJQJ^JaJmH sH .h3h<5CJOJQJ\^JaJmH sH (h3h<CJOJQJ^JaJmH sH "hw6CJOJQJ^JaJmH sH "h<CJOJQJ^JaJmH sH  2 *k*$ 2 zJ Z*j :# &Pz]P^za$gd3D")$ & F 2 zJ Z*j :# &P]Pa$gd3D")$ & F 2 zJ Z*j :# &P]Pa$gd< 8?ABQSTiMM88(hw6h<CJOJQJ^JaJmH sH 7hw6h<5@CJOJQJ^JaJmH nH sH tH =hw6h<5>*@CJH*OJQJ^JaJmH nH sH tH :hw6h<5>*@CJOJQJ^JaJmH nH sH tH 4hw6h<@CJOJQJ^JaJmH nH sH tH (hw6hCJOJQJ^JaJmH sH (hw6hB%CJOJQJ^JaJmH sH (hw6h 6CJOJQJ^JaJmH sH )*jkоpU:U%(h3D"h3D"CJOJQJ^JaJmH sH 4hw6h%yx@CJOJQJ^JaJmH nH sH tH 4hw6h 6@CJOJQJ^JaJmH nH sH tH :hw6h<56@CJOJQJ^JaJmH nH sH tH 4hw6h<@CJOJQJ^JaJmH nH sH tH (h3D"h3D"CJOJQJ^JaJmH sH "h3D"CJOJQJ^JaJmH sH (h3D"hCJOJQJ^JaJmH sH 4hw6h@CJOJQJ^JaJmH nH sH tH   RS̯qqWqB(h3D"h<CJOJQJ^JaJmH sH 3h3D"h<0J5@CJOJPJQJaJmH sH Ajh3D"h<5@B*CJOJPJQJUaJmH phDDDsH 8h3D"h35@B*CJOJPJQJaJmH phDDDsH 8h3D"h<5@B*CJOJPJQJaJmH phDDDsH 2h 5@B*CJOJPJQJaJmH phDDDsH 2h3D"5@B*CJOJPJQJaJmH phDDDsH ;0P:p=/ =!"#@$@%@@ Dpn3{([ PNG  IHDRDMzsRGB pHYs+tEXtSoftwareMicrosoft Office5q3OIDATx^|w|TN(*t ҋ TEEDQDw"wB JBzd3A*~9k>̙X@Ҭ=C z*r~wn _{F}jw:-@Zf:rpο ]6?080{xu50櫅bDɇ+àcr] :שq7Wyx֫:xF #@k6th/ ?~_Vl2 v9u5]n~YK~%׺\;HKNENb N.\sG?2so+r |l.x܅(t9q+3E:~m(>z|ͼoD/G1C)F)C^ǛBQZ:Q ;( :V#Qj%D*w.F^vzk|MnEmf+FjB޺+; (E68\r[6).S\W1ty([=`GdR GC})y8s+y[m0Ң `)ȇUPM`k`Fz@?+p؎eJC _/V,ccb$LI1;0z'"kj&0hv(;\,;o3-.ܱy[&7C˖P*Y<Ä"buEF"/9ZUn) 3;m'>aPh1w dA2AP3Ӏv8tnD.дm n#A;N7-k˲W .P`倍Yw3BAF7l(-2 0j}Vzصs;YqAHM ^rU+[$4/NrcsoAk-0ENd'^' _TYqVmڊwѼ]k5C/y]F|[Qy#bF- +ffJ(˃7L Dnq|~=ECH:wB[ՅʑA~ +fC],ghh ڛzG^D!(dfB+(Ȃ1, & 2eЉ `yzf;a'6yWjwp\۴vᥙA` İGoGkTЁI!~PO ۤC҅{ܡ=|tzTtքoh(0oܼYC02u +M >?ܥGۋWC0_;a*E0Cgڐl[J*Gڕl Et \c<I3 ?p( ؚȠg$P̭2|O`B CS Oi&ĝ: s$\0UbX2Ve<7҈w&'OB@z(׺%*CǯS|!9O)K!|[3P "!P vFp{tB|V".SYr2F0$%E:v8{t+ n,sQ/.}~fS[O-F(x)tOA>AnGu =+^A2fXRƍٷ}?sZk|6Ǥ8y'8uj#@hhȐ˳,ZB6p\ě08pp6#1Td[ݸz zOuƩ`|ceXcCL&xX9n 01 zb $b9yH՛#'*`$:Ű-Pu)_3 hԣnۏT&ۿZ"{;FX`Lkn:(CO=y+" vp($xQVbN}}:s'мUKD)C6tv P=~?ޒΝpq55} )H7oRoY93OȐㄓFQ5n"HJƅ h\EYEUvuڋ=YB2o={b9 p l6!Zt+ ,CMi t=8w0N9`\;ܗȉk#BtHv LtR-!v mE_u@ԠB*UpQf()H\]oH^f] 2K7C*HrVD/BѬJe<3j/*A~8P۪"[LFw ZpW}njCؼM*!7߉>/'b-dYd$K: 2#;F\)7dAmه{w3Pn}#[4b$ʓo%5cb2^} ǺuMfʵ¬k7#R2i)plNG=S=8D%0!ǠFqv馱p=Ev:37/P#B9`w1ŋ`gLeD|=NIBf uԭZV' m Z? k FvR*+f SUK."xԸa#; n" FܸE ޝSgl [ntE&R6(bʐS|KH`6h۹ K0qQ4\:{ Zn:]^' .;h^rά(MB /gzE,9NsH#11ݣ]xÆXnƒL%5к0wpDGc !{`H|iw(uE!n. KC$0AXz t"+gqxNjFZ1/]hb ;aQixKlug=";</ơG<'nLJ1`b Co"-*N%[`?a N1zӍx@^3PVۦgQ2xXp =Pe&e؟U'SHh~e:1vt;KƘAݑAӧOpJCRQUW*[-,S@rښwPw7' K'GHZFID0GlX@]od5e <+-OK'ZeUtb=BL2.z#҉C2p y >xa! W k6!-$ð|:]_301U4>:>^'tG g3zn\D닀`*PQ1%"-(S^#}$֓whFMoF;oL/AL,07 ʹ&Ҡy:e":_L#Ga9wĈ!pc/ȹqV6d az缍熎VEa6 濇7eu+̹VDhLvf. /40nӖ f} Z0a.cX gGS̅bQEUMp9@+y3E_.4ԙs5|⯎cZ_nFW1Kܸd&;,Ҟ}u5QUj6C,X[r Y!XSL@ 3Q|0yetHstA;Ixyl՟!ÇȬyQdE)8!m:];O`ÌqU1a8L b&Я5p 䳦Z{_" XߑǨqc@jBْk\&2^v:mt5Cv`e` J#P,BJJ6%/(cAk. .Mjte~+䛹9 ƞ q٤q\z1la[#oH׉?.ώ,%Y Ņ-pJC1WU$/s!\Le/p~ ~w4fw:"K)z@"AXDێ+&'+gB[jҽ!ڸ"Ġ5mbwp!3W2t͙M1xvF2EenL4ȃE:I,yiO?Mʅ'ΡrF{WfɵG0[Ejn([WDa!:f?°k6xʖBHPlU/Ony3dJvZ؞41{Jó>IdcU!o? C[<4'3^5r>19e  n>b*nWޟXl>QQzq&qM&z/iS䠁Cf {tUTb ˡv5v:qf $_+::|VPp}Ӛ?[_NJ"E/4{(|Ii^B]|İ ALkTH*FTK|Г{+Ghhd?6FU8*Z%3Mxs 4.~Y9e/Z$ j Z4ToDÅcz2 ^Kـ7rq N@-PJ%JuE~+_sZT}aTb}!+yۯ҆e~Zԅ˳S= HgCܹP4rԽԐpca۰ y]<rGhxؿ H\( Z-WT˻%}[g/j/[:uo̖" ~IZѐ3ޝv|6GLB.\@P;6kO.sjp?v|T| ~6HJgގMǏB;h;ANVe$7CtS/2=ȗt\|؁*qqGrIw,j0V}*լmtK;j)Dfdd{OzZɞxSE(nK{CqEVjS#lc^Zߑ]prN!G&~ܵw/"ƐicզxXҭ$#gj٦56$~02L!;=Fj8n٤[U8`A9:Y1ZVMq3(X,pg:NG%vĥqE ?>}m) h±52uRf܇E/ +^}0yH gǨĆxnnB­,+9:U|XX#UD=el|l9kddfW_AHp6mފÇէA:v(bޝ51&u"S:!Ӏ CY3]ױdO4$iؠ Q a jfrڮ#cg5z˖-ZcSpevj S kVM6(] &MxIy MKǜW57Т .bJ'~e:<صcRCNYVJ1Sڼb32RL.agUDIO)k^՚A 1GYB^-ѤU ] Q^)B\lwoIn\i # kNӰׯa=0>݈?knݷ#Dv)꺰ʰҤ1s"簪"8mޑV;S>9趵ϓ&21ٻ;">W-h汷ٲDZ}eFұᱷ-66)ѫɰkʳҲ?7ʬ>:<ީC-VWTOo!28 E`h d2ںL4S6#QЗ7.~E^ސ#*AIxYĘ,3JD;u̘1UXEn ada {xO1Hpp b@Xrצ.Yd)>۴i#l 3 귍YFJpYJFBh$KO1rf7.Le ٟV`9?n\<&_I,,'ت2떁~;Mb'/) 60l<ύ7.Te1P>L ISѦMIb:uiRሏNWFB 1f͙INf`M$Z)S^`ӛ%H-& Z^ЕYaIJ@B{x4iի+<λgpt!^&<ŜS(&IVvM#r8(Wc2T?|]t}b9,#1BC RC_6DX9o`,wfҥ3om(@Ɔgv FgόF1cQe#8e7KQpj׭k~d7AڵŻDQݗZ]ү&]PQZM ƛsz70aZ$yDvc u>볦ܳϱRŊ\;]NY"9r1r[ ?jqF"M~39n45?I 卉" W6ۈ/ -[6,z'CXa#HBC"{;6f>ҩSGHc'qdnn6bT$&1Dd=={3gnh',9nBe'6 2;8p/#}K+L " .];}5cȧg@…*y޼yеk7  y.)Y3߀KQwV\A#;r3 ~ǚJjs`1վt7z>SazZ育 %m徺yl"( X&s缉`EbĐk Ĉ#qvZ;Q!#2ޙSguvL~~2wBu:#FT&UEDu*>'Ȏ?V{r"1 4W_^9kgd&#^3sh8"RۄQH)i6btk;ϻ(믽k4֊W –<#,Zj*%~B٫2 12vlarsQ&|_Qkxe+*O7`@!H=[NrӉY$c_tk]'A!sSP ȣhxr*W , k / ڲZweEbc'[r}_ȣ !:},1`P~eM*嵑m4/h%֮z7xk )x{lʋݻwSISiɭ{7w!SXZzn7@}G.N rpr^˾ MIK(I.d0h(r&M1γbSmzM N>eZlk5 +S?z-\9"^~u{Ǝ1iktP7ދdvoyV6Ef ]T)ڃFF6_[#7#P(M6QflH֩|&Nt >Яn]GDH8֭\oǘQ԰T h,CHIF.j'tsz ⩏p6a ;TĊwrl6z| v>' \)Yٳп?#UkX#4oMkړrruzO/ ȣ!zbjifz <>G@\m,͜ocp^[ZMIzMn~Г4}H_s>3'U'W1yEP]>B:]W) KNB 23BT/fԭ͜7fe圍1,$t"E)#$8K}4TD"]Ǽ:}S8L>Ie1|Nnj#aid,[2{JpЃE"_| NYs=ed.ƔTsf?xYܕ(,Wc)%mߺ($AD-뎪ժcDRr}Cz 0RD*]XREmt_Oc3q4ǧ(-Bc*ѳy-[aeW8VNy ._.҇TByi^ٳġїc+Weΐ[)I-[-5:ʣr,0Feg-H.&Mzӧﳛ5kabhk@KQEҕ*M6b"\" FA序<=cMc|Gm'ٱsцmIz^8y\V("[o5עIHLNVsOHE*#7ٮ][U;89  b.\i8:9j]UC]2ܐb%J _t! }@0L;G]go⅄M۱ ңƍΤ Y]6*{V=~ov+Z1kL|h1~A78ɢ{dT"V'OXp"cbL8ȑ9γQ5vKg!R+V(4o|Ta$ApM6ɬ5N4Z}6<4kޤ*/!w6\5$-.0i~˥S!se]6Z >`$͖boV OK|+:62tDvT%I1H>!`V3R )$` $6qd8']l?7V|c~$D|hqJ8xW[许ܔ0ȸ,OzD,#_U؞2dAEㄱs6sط*O57x6/_JuUަSFUaŔ-#(Ame&۲y ]I&aРhؠ>=$g٧ ç7e\QmHn Q:;Z~j򆒆¦x"b/ЈGin{Ɓna$p/cUWE\zb*ӏ*zsϿ0 R$cVRޫds8AטV3Ze.H^4Ze#t%l &G awT`+j|6[!,Wь $<h@J8Pljǰɧ1E+ 6yv>lbό˾Foآٵ;9ܱeV< Č^}{cKSh;$D$Jͅ7=<\/;5"sHoV?Y>⳻+WR{8U ?3>@)kN&.+ NIb9Rwϫ1idHf'~~ԩQ|29Ӟ{wN!U?l?ogΞG7,cɫۛP^ <( Kx/O_\CvJ~oJ|ȇxnph'9- i7/kV(eeeŸRTADZ;c("7CqJޔzeǶ8Jc ا5ӰO$W{VEȈz+*a$5@o>ݤ˱3+*B*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 2 1   ? r S   8;R_XXl  ,b${([ 3=2@(  b  3 @@A C"?B S  ?9t3 9Z[dh)jfNqEgDhz^z`OJQJo(hHhJ^J`OJQJ^Jo(hHoh^`OJQJo(hHh ^ `OJQJo(hHh ^ `OJQJ^Jo(hHoh^`OJQJo(hHhZ^Z`OJQJo(hHh*^*`OJQJ^Jo(hHoh^`OJQJo(hHfNqE         /. 8<"B3D"5w"Y1&Gf'w6j%7J:1:=)CgM?@ABCDEFGHIJKLNOPQRSTVWXYZ[\_Root Entry FpߧQAaData 41Table< WordDocument%fSummaryInformation(MDocumentSummaryInformation8UCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q