Please let us know if you would like to:

Participate in the Exam Prep Call ( 1 week prior to the exam) Be included in the list of contacts for the study group ( your contact information will be shared with other exam takers)

AM AME R

AME Registration form

Cert

ifie

d A

ssocia

tion E

xecuti

ve (

CAE

®)

Exam

Exam Application Form Organization I report to

Please send the exam to: e-mail 1 e-mail 2

Daytime Phone Evening/Weekend Phone

Title

Name of Cardholder Card Number Exp. Date Signature

CAE® Designation & CSAE Membership I understand that if I successfully fulfil the requirements to be granted the right to use the designation Certified Association Executive or CAE after my name, THAT I WILL RETAIN THAT RIGHT ONLY SO LONG AS I REMAIN A MEMBER IN GOOD STANDING OF THE CANADIAN SOCIETY OF ASSOCIATION EXECUTIVES.

Signature Date Please return this form by fax: 416.363.3630 or by mail at the address below. If you have any questions, contact

Eve at 416.363.3555 x 242, toll free 1.800.461.3608 x 242 or by e-mail: eve@csae.com

Mrs. Dr. Mr. Ms.

CAE® Exam Requirements

I have completed the CAE® courses

I am a CSAE Member (No. ) OR

I am not a CSAE member, I have enclosed my CSAE membership application

I have attached my résumé. My résumé includes a clear description of my present functions, my previous work experience and my education

I have included the $550 + tax fee for the exam

Exam Fee: $550 + TAX

2017 CAE® Exam Dates

Winter Jan.20-22, 2017 Registration Deadline: Jan. 13, 2017 Spring May 12-14, 2017 Registration Deadline: May 5, 2017

Fall August 18-20, 2017 Registration Deadline: August 11, 2017

The CAE® Program is Sponsored by

Canadian Society of Association Executives—10 King Street East, Suite 1100 Toronto Ontario M5C 1C3

Name

Please select one of the following tax rates based on the province of residence *Payment must be received before the exam date.

Payment by : Cheque (payable to CSAE) Visa MasterCard American Express