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Members
Students
Events
- CRA Annual Scientific Meeting
- Upcoming Rheumatology Events
Education
Resources
Research
About Us

Members
Students
Events
- CRA Annual Scientific Meeting
- Upcoming Rheumatology Events
Education
Resources
Research
About Us

Bank FormAdmin2021-06-15T12:43:40+00:00

Banking Information and Authorization

Please provide the information below so that the CRA may expedite expense payment(s).

If you prefer to submit your information in writing, please fill in this form and mail it to:
Canadian Rheumatology Association
280-13300 Tecumseh Road E.
Suite 386
Tecumseh, Ontario N8N 4R8

If you have any questions, contact our Senior Bookkeeper Lisa Prout at 905 952-0698 Ext. 6.

Contact Information

All fields in this section are required.

First Name

Last Name

Phone

Email

Address

City

Province

Postal Code

Relationship:

CRA Board MemberCRA Committee ChairCRA Committee MemberCRA LiaisonCRA Staff MemberRheumatology Resident, CRA MemberCRA Summer StudentASM SpeakerASM Travel Bursary Recipient (Rheumatology Resident, Summer Student, Podium Presenter)Canadian Arthritis Research Conference (CARC) Speaker/Committee MemberOther, please specify...

Banking Information

Direct Deposit (for Canadian payments)Wire Transfer (for payments outside Canada)

Institution Name
Transit #

(5 digits)Institution #

(3 digits)Account #

(7 digits)

Bank name
Address
Account/IBAN #
BIC/SWIFT code

Please upload an image of a void cheque, if available.

Acceptable file types are pdf, jpg, gif, or png.

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Date

MAILING ADDRESS

Canadian Rheumatology Association
280-13300 Tecumseh Road E.
Suite 386
Tecumseh, Ontario N8N 4R8

(905) 952-0698
info@rheum.ca

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