* GST Reg #R106732688; taxes apply to Canadian residents & delivery locations in Canada.

Individual Member & Affiliate Application The fees identified below provide ACA membership for twelve months from the date of payment.

Affiliation:

Pronouns: Legacy Member ID:

Renewing Online Contact Information: Work Home

Prov/State: Post/Zip Code: Country:

Name:

Title/Position:

New Member Renewal

Address:

City:

Email: Phone:

Email used for online credentials and must be unique i.e. cannot be a generic institutional address. Please note your legacy ID will no longer serve as your online credentials.

Individual Membership Classes and Fees Supporting the ACA & ACA Foundation

Fees, Taxes and Totals (Please enter the fee selected and GST/HST)

Class Select Fee Sustaining Member Fee $ 0, 000 - 9, 999 $ 90 Yes 5% GST $ 10, 000 – 24, 999 $ 160 Foundation Donation 13 % HST $ 25, 000 – 39, 999 $ 182 Yes 15 % HST $ 40, 000 – 54, 999 $ 197 Print Archivaria is available with

additional fees and shipping costs. $ 55, 000 – 69, 999 $ 219 Donations are tax exempt and tax

receipts will be issued for all donations

more than $ 20.00.

$ 70, 000 + $ 248 Retired $ 104 Print Archivaria Associate (Friends) $ 160 Shipping Student: 36 months from payment date $ 65 Subtotal with Tax

Thank you for your support! Donation

Total payment due GST/HST Info 5 % = BC, AB, SK, MB, QC, YT, NT, NU; 13 % HST = ON; and 15 % HST = NB, NF, NS & PEI

Payment Method: Please select your preferred method of payment:

• Click print and mail the completed form with Cheque or Money Order payableto: Association of Canadian Archivists

• To pay by credit card, enter your card information, click Print, sign, email or fax the completedform to the ACA (aca@archivists.ca or Fax: 613-235-8500).

Name on card: Signature:

Card Number: Card Expiry Date:

CVV* (3 digits): (*please do not submit CVV via email - contact the office with this information if using email or fax)

Receipt to be issued in Name of: Print Form

Reset Form

, Suite 1912, 130 Albert Street, Ottawa K1P 5G4

* GST Reg #R106732688; taxes apply to Canadian residents & delivery locations in Canada.

ACA Interests and Leadership Opportunities

Special Interest Sections (new members only: please select up to 3 SIS groups)

Archives of Religious

Organizations

Accessibility

Government Records

Aboriginal Archives Municipal Archives

Access & Privacy Personal Archives

Leadership and Committee Interests

Archivaria Education Committee

ACA Foundation Board Ethics Committee

Advocacy Committee Finance Committee

Awards Committee Governance Committee

University and College

Archives

Sound and Moving Images

Technology & Archives

Outreach Committee

Mentorship Program

Special Task Forces

Host Team Chair

Program Team Chair Board of Directors Membership Committee

Updating Your Membership Profile Using Wild Apricot: At any time, you can log into the ACA website using your email address and the password you have created. If you forget your password you can reset it as needed. If you move, change jobs or institutions, you can update your profile at any time. You can indicate which address will be your primary address for the directory as well if this information changes and it is a dynamic system for members only.

Instructions: This form can be completed on-screen, then printed and sent to the ACA office via Canada Post, email or fax using the coordinates provided above. Once you have downloaded this document, simply move your cursor over each input field and click to type or select a response. You can also print and manually complete this form and send it to the office via Canada Post, email or fax.

General membership information: Membership in the ACA covers twelve months from the date of payment for all membership levels except for students who have thirty-six month memberships. Receipts: Membership confirmation & receipts can be downloaded by members using Wild Apricot if further assistance is needed do not hesitate to contact the ACA office.

Membership Benefits: • Archivaria, a leading journal of the study of archives• News, updates and information related to archival community in Canada• Special rate for the Annual Conference• Access to Members-Only website• Advocacy for archives• Networking• Education: workshops and professional development• Mentorship Program• Special Interest Sections• Student Chapters• Voting Rights• Leadership opportunities throughout the year

* GST Reg #R106732688; taxes apply to Canadian residents & delivery locations in Canada.

Conditions for the Use of ACA Online Publications: In applying to renew or join the ACA, I accept the "Conditions for the Use of ACA Online Publications" for e-Archivaria on-line collection.

Signature:

Members of ACA receive access to all issues of e-Archivaria online for the calendar year; the "Conditions for the Use of ACA Online Publications" for e-Archivaria online collection are found at https://archivaria.ca/index.php/archivaria

Archivaria in print (two issues per calendar year): to order print copies of the two issues for the year, simply tick the field showing ‘request a print Archivaria’ and include the fee, then select the appropriate postage for your delivery location. Print issues are not subject to GST/HST Archivaria print delivery rate (subject to rate change by Canada Post)

Delivery to: Rate

Canada $15

USA $25

International $45

Code of Ethics: By enrolling as an ACA member, you agree to adhere to the principles of the ACA’s Code of Ethics for the professional conduct of archivists and archives professionals. See the Code of Ethics online.

Pronouns (optional): Indicating pronouns will help to provide this information on delegate passes. This information helps to create an environment where trans and gender non-conforming people can feel welcome and respected, and also helps develop trans cultural competency in the general ACA membership and affirm that commitment to plurality, diversity, and inclusion.

Privacy ACA values the privacy of its members and customers. All information collected is retained and used solely in accordance with our Privacy Policy, which adheres to the Personal Information Protection and Electronic Documents Act (Canada). The use of all information collected is restricted to Association purposes. Our policy is online.

Canadian Taxes: Residents in Canada are required to include GST/HST for the province or territory in which she/he/they reside. GST/HST Info 5 % = BC, AB, SK, MB, QC, YK, NT, NU; 13 % HST = ON; and 15 % HST = NB, NF, NS & PEI

For Further Information: Visit our website at www.archivists.ca Contact us via e-mail aca@archivists.ca Or Phone the office: 613-234-6977, 1