Individual Rate (Choose this option if you want to use the publications and services for your own personal/professional benefit):
$75.00CDN (Available only to Canadian residents who have maintained continuous membership since 2007)
$99.00CDN (Available only to Canadian residents as a New Member or Renewal Member after 2007)
$75.00US (Available only to US residents who have maintained continuous membership since 2007)
$99.00US (Available only to US residents as a New Member or Renewal Member after 2007)
$75.00US (Available only to International residents who have maintained continuous membership since 2007)
$99.00US (Available only to International residents as a New Member or Renewal Member after 2007)
$135.00CDN or $135.00US (Extended Individual Renewal Rate only available to members who have maintained continuous membership since 2007. The two-year rate includes a 20 percent discount on second year) ($CDN75.00 for year 1 plus $60.00 for year 2 - a total of $CDN135.00 or $US135.00 for US or International members)
$178.00CDN or $178.00US (Extended Individual New Member Rate or Renewal after 2007. The two-year rate includes a 20 percent discount on second year) ($CDN99.00 for year 1 plus $79.00 for year 2 - a total of $CDN178.00 for Canadian members or $US178.00 for US or International Residents)
No Fee for one year for Coaching Commons Pledges of more than $100.00 (Valid until February 11, 2011.

Institutional Rate (Choose this option if you want to use the publications and services for your business or organization. This category allows up to five persons from the same organization address (but with different email addresses) to receive all services, publications and benefts):
$140.00CDN (Canadian Resident's Renewal only available to members who have maintained continuous membership since 2007
$185.00CDN (Canadian Resident's New Member or Renewal Member after 2007
$140.00US (US Resident's Renewal only available to members who have maintained continuous membership since 2007
$185.00US (US Residents New Member or Renewal Member after 2007)
$140.00US (International Resident's New Member and only available to members who have maintained continuous membership since 2007)
$185.00US (International Resident's New Member or Renewal Member after 2007)
$252.00US or $252.00CDN (Extended Institutional Renewal Rate only available to members who have maintained continuous membership since 2007. The two-year rate includes 20 percent discount on second year) ($140.00 for year 1 plus $112.00 for year 2 - a total of CDN$252.00 for Canadian members or $US252.00 for US or International members)
Names, job titles, and e-mail addresses of up to four others to be included with Institutional Membership (optional and can be sent later):

$333.00US or $333.00CDN (Extended Institutional New Member Rate or Renewal Member after 2007. The two year rate includes 20 percent discount on second year) ($185.00 for year 1 plus $148.00 for year 2 - a total of CDN$333.00 for Canadian members or $US333.00 for US or International members)
Names, job titles, and e-mail addresses of up to four others to be included with Institutional Membership (optional and can be sent later):

Student Rate (Choose this option if you are registered as a full-time student in any post-secondary institution)
$50.00 CDN (Canadian Student Rate and available only to full-time students)
$50.00US (US Student Rate and available only to full-time students)
$50.00US (International Student Rate and available only to full-time students)
University/School (If requesting student rate)

Payment Method:
Credit Card (Receipt issued on confirmation)
Keep my card number for automatic renewal on my membership anniversary date
I will send a money order or check to The Peer Resources Network, 1052 Davie Street, Victoria, BC V8S 4E3
I will send a purchase order. PO Number, if available:
Please invoice me by fax (Not available for student rate.)
I will call your toll-free number (1.800.567.3700 in North America) and provide the above information.
I will call your Skype number ("reycarr") and provide the above information.
Select this if you have pledged $100 or more to the Coaching Commons

Name Title (If applicable) Organization (If applicable) Street City Province/State Country (If outside North America) Postal/Zip Code Is this address: Work Home Work and Home E-mail address (Required) Alternative e-mail address (What's This?) (Optional) URL (Optional) Day Phone (Required) Fax (Optional) Cell (Optional) Primary Interest Area (select all that apply): Peer Assistance Coaching Mentoring Computer Experience Level (this will assist us in what kind of help to provide, if needed): Beginner Experienced Expert Usual email program or software used (this will help us improve delivery of the Peer Bulletin to you): Apple Mail AOL Courier Calypso Comcast Entourage Eudora First Class gmail (Google) GyazMail Lotus Notes .Mac Mailsmith Moxilla Netscape Mail Novell Groupwise Outlook Outlook Express Pegasus QuickMail Squirrel Mail Thunderbird Yahoo Other (if not in list above) Comments (Optional) If you were referred by another member of the Peer Resources Network, please enter the member's name (This person will have three months added to their membership): Referral Member Name

Credit Card Information: We do not store credit card information. All processing is handled by a real person. Our computer system and data collection procedures are completely hacker-proofed, and cannot be accessed by unauthorized personnel.

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