APRA Canada Membership Application Form

APRA Canada membership is $40 (CAD) plus applicable tax(es) per person (GST #80987 4951 RT0001). Membership benefits include:

Networking Opportunities
Access to the Members Only section of the website (includes the online membership directory)
Preferred rates for APRA Canada's newletter (published quarterly in August, November, February, May)
Mentorship Opportunities

Membership Categories

Individual Membership belongs to the individual who joins APRA Canada. This membership will stay with the individual if she/he moves to a different organization in that membership year.

Institutional Membership is not available with APRA Canada.

^* denotes required field

Professional Info
Title :
First Name:	^*
Last Name:	^*
Job Title :	^*
Organization :
Department:
Industry:	(Health, Education, Arts. Etc.)

Preferred Address
Address :	^*
City :	^*
Province :	^*
Postal Code:	^*
Phone :	- - x
Fax :	- -
Email :	^*

Member Information
Are you a member of APRA International? ^*
Would you like to be identified as a consultant/freelance researcher?
Are you interested in being contacted about any of the following volunteer opportunities within APRA Canada? Communications Professional Development Regional Volunteer
I agree to have my name, title, institution and contact information published in the membership directory on the APRA Canada web site: ^* Yes No
Membership Payment:
Please chose one of the following two payment methods: Cheque payment⁺ Add to Paypal shopping cart + Membership account will be activated when payment is received

APRA Canada GST #80987 4951 RT0001

Occassionally, APRA Canada may share the membership list with the board of APRA International for promotion and cross-marketing of educational opportunitites and networking events. APRA International will not sell or distribute any of the local chapter lists outside of its own use. If for any reason you would not like your contact information shared with APRA International, please contact Sarah McCarthy (Membership Director) at smccarthy@ivey.ca and she will ensure that your information remains confidential.

If paying by cheque, please make it out to APRA Canada and mail it to:
Mark Neilans - Treasurer, Secretary & Vice President
Manager, Prospect Research
260J Westminster Hall
The University of Western Ontario
London, ON N6A 3K7

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