Home
Membership Application Form

Membership Application Form

All membership are on annual basis and there is no recurring payment. You will receive an email reminder when your membership will be due and will have the option to renew at that time. You will receive a welcome email once you complete the sign-up process. All prices are in Canadian dollars.

Warning: browser cookies disabled. Please enable them to use this website.

Select membership level

* Mandatory fields

* Membership level

Patient - $25.00 (CAD) Subscription period: 1 year No automatically recurring payments

Affiliate Patient Group Membership - $50.00 (CAD) Bundle (up to 5 members) Subscription period: 1 year No automatically recurring payments

Corporate Friend - $5,000.00 (CAD) Bundle (up to 5 members) Subscription period: 1 year No automatically recurring payments

Corporate Supporter - $10,000.00 (CAD) Bundle (up to 10 members) Subscription period: 1 year No automatically recurring payments

Corporate Leader - $15,000.00 (CAD) Bundle (up to 15 members) Subscription period: 1 year No automatically recurring payments

Corporate Champion - $25,000.00 (CAD) Bundle (unlimited) Subscription period: 1 year No automatically recurring payments