CNPN Membership Registration

Membership is renewable on a yearly basis each November 1 - RENEW HERE.

Student Membership Fees CDN $10.00 ($8.85 + $1.15 HST)
General Membership Fees CDN $30.00 ($26.55 + $3.45 HST)

•Membership Type:	General Student <select
•Salutation:	Mr. Ms. Dr. Prof. <select
•First Name:
•Last Name:
Affiliation/Company:
Street Address:
City:
Province/State:
Postal Code/ZIP:
•Email:
•Verify Email:
•Phone:
•Payment Method:	Credit Card/PayPal:      -OR-     by Cheque:
•Username:	(no spaces)
•Password:
•Verify Password:
•Security Code: