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Wednesday October 1, 2014

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Change of Address Form

PSAC ID
First Name
Last Name

OLD Address:


  City
Prov./Terr.
  Postal Code

New Address:


  City
Prov./Terr.
  Postal Code (A2A 2A2)

Tel Home

Tel Work

Email

Local

IAN #

Employer / Dept

Language English French

Are you a member of the PSAC?    Yes No

Would you like to become a member in good standing?  Yes, please send me an application card

Request ID Card Yes, please send me my PSAC ID card

Please also notify your local of your change of address and if you receive mail regularly from the regional PSAC office please advise them as well.
 
   
 
   

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