Member Registration

A one-time registration process to enter the Members Only Area of the website. Once registration has been approved you will be notified by email that you can then report your Continuing Competency Credits.
Mandatory Field (*)

New Member Registration

Status *

First Name *

Last Name *

Email (Preferred) *

Email (Other)

Username *

Password *

Street Address *

Town/City *

Province/State *

Country *

Postal Code (format X#X #X#) / ZIP Code *

Telephone (Preferred) *

Telephone (Other)

Employment Field *

Other (Employment Field)

Employer *

Job Title *

Gender

Language Preference *

Birth Year *

Year Joined *

Year Eligible for Life Membership *

Slide green button to the right to unlock Submit.