Membership Application

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Your Contact Information

ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Your Employment Details

I first started working in the Motion Picture Industry full-time or part time employee
part-timefull-time
As an employee of:

Then located in which city, province :

A Little Bit About You

Please use the below space to tell us the year you started in the industry and also share any information on your background in the industry and any other personal information including how you might wish to get more involved in CPP activities.

I affirm the above information to be true, that I am of good character and by virtue of my current employment in any part of the Motion Picture Industry or any industry associated company, I am qualified to become a member of the CANADIAN PICTURE PIONEERS. I fully agree that in the event it should be proven, after my admission to the organization, I have misrepresented any of the foregoing, I will voluntarily surrender my membership after said misrepresentation has been brought to my attention. I further agree to receive correspondence from the Canadian Picture Pioneers no matter how it may be sent.
I agree

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