APPLY FOR MEMBERSHIP Please enable JavaScript in your browser to complete this form.Name of Company *"hereby applies to become a member of FCSA"Street Address *City *ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code *Phone numberEmail *Type of Telecommunications Service ProviderLocal TelephoneLong Distance TelephoneCellularPCSHydro UtilityCATVInternetother (type below)Type of Telecommunications Service Provider (other)Number of Operating Microwave Links *Total Amount of Microwave License Fees paid to Industry Canada on April 1 of Current Year: $Reason for Seeking Membership in FCSA *On behalf of Applicant - NameOn behalf of Applicant - Name *On behalf of Applicant - TitleSubmit
