Membership Renewal 2018

2018 Membership Renewal Form

Annual Dues (Jan. 1/18 - Dec 31/18)

Please make sure to complete payment in PayPal after completing this form.

* Membership Status: Full Membership
Affiliate Membership
Associate Membership
Student Membership

* Name:

* Email:

* Address:

* City:

* Province:

* Postal Code:

* Telephone:

Degrees:

* Licensed or Certified in BC as:

Enter Other (if selected above):

* License #: