CPRS New Brunswick
Student Membership Form

Welcome! - The Canadian Public Relations Society is committed to helping students involved in educational programs geared toward the public relations and communications fields. As a student member of CPRS you will receive copies of Hotwire local chapter newsletter, have the opportunity to work and network with professionals, will be welcomed at our programs and social events at a reduced rate and receive scholarship applications.

Payment:
- Online payment: Once you hit the submit button at the end of the form, you will be taken to a secure site to pay your fee of $20. You will then be displayed a receipt for you to print for your records. Please make sure you follow the process and print your receipt.

- Payment by cheque: If you prefer not to pay through the secure site via credit card, please print the completed application form and mail it with a cheque for to: CPRS, Suite 346, 4195 Dundas Street West, Toronto, Ontario, M8X 1Y4, along with proof of enrolment.

Please complete and return this form with proof of enrollment (unofficial transcript or class schedule) and your Student Membership fee of $20.00 to your local CPRS Student Representative or to:

CPRS New Brunswick
Attn: Membership Chair
Christopher Williams, APR
Energy Policy Communications Advisor
Department of Energy
1 Germain Street, Suite M100
Saint John, NB E2L 4V1
506-658-3189
christopher.williams@gnb.ca

Complete ALL sections on the form below.

Once you hit submit button at the end of the form, you will be taken to a secure site to pay your fee, after which you will be returned to this site where a receipt will be displayed for you to print for your records. Please make sure you follow the process and print your receipt.

* - Denotes mandatory field
Member Information:
First Name: * Last Name: *
Mailing Address: * Postal Code(no space): *
City: * Province: *  
Phone(999-999-9999): * Fax:
Cell Phone: Email:*
Personal Email:  
Educational Institution and Program currently enrolled in:
Year of Study and Expected Graduation Date:
Are you interested in volunteering for committees?
What portfolio are you interested in (check all that apply):