Membership Application PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameLast NameStreet AddressApartment, suite, etcCityProvincePostal CodeCountryCanadaUnited StatesPhoneEmail AddressConsent *I agree with the following objects of ALIEA: Develop local and international educational, social, cultural and health education projects in Alberta Contribute to the public availability of educational opportunities and resources by study abroad exchanges, publications, online projects and other such activities;and Promote public knowledge of Human Rights and create innovative and collaborative activities that reduce barriers due to poverty, physical disabilities or discrimination. Consent *I agree to pay an annual membership fee of $10.00 to be paid by: a) cash/cheque at any meeting, or b) by mail to 10611 – 110 Avenue NW, AB Edmonton T5H 2Z5, or c) by electronic banking via e-Transfer to alieathankyou@gmail.comSubmit