Member Signup and Renewal

Please provide your name and contact information below.

Thank you for joining Apra Canada

Annual Membership Fee *

Apra Canada - $ 40.00

Total Amount

Member Information

First Name *

Last Name *

Job Title *

Organization *

Address *

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Country *

Phone

Email *

No Bulk Emails (User Opt Out)

Click here if you do not wish to be contacted by Apra Canada (except for membership renewal.)

Credit Card Information

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Card Number *

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Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

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Apra Canada GST #80987 4951 RT0001

Occasionally, Apra Canada may share the membership list with the board of Apra International for promotion and cross-marketing of educational opportunities 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 Corinne Hynes and she will ensure that your information remains confidential.

If paying by cheque, please make it payable to Apra Canada and mail it to:

John Hermans
Treasurer Apra Canada
21 King's College Circle
Toronto, ON
M5S 3J3