Application for Membership - Page 1 of 2
Welcome to the online membership application
Fields with red asterisk (*) are mandatory.
Note: As a result of the Federal Privacy Legislation (Bill C6), you are not obligated to provide us with your birthdate or home address.
Name of Member Society:
Postal Code(no space):
* ex. 999-999-9999
Nature of organization’s business or activity: *
Date of birth (DD/MM/YY)
Language of Society Mailings:
Address to be used for Society mailings and Directory listing:
I have been referred by:
Have you ever been accepted for membership in CPRS before?
Member Society From