Application for Membership - Page 1 of 3

Welcome to the online membership application
Fields with red asterisk (*) are mandatory.

Complete ALL sections of the form. Give full details of your current and past positions’ functions.
ELIGIBILITY

CANADIAN RESIDENTS
The completed application form, will be forwarded to the Presiding Officer of the Membership Committee of the appropriate Member Society or directly to the National Office.
APPLICANTS OUTSIDE CANADA
The completed application form, will be forwarded directly to the National Office.
DUES
Payment by credit card covering the initiation fee, National and Member Society dues and applicable GST must accompany the application.


Please select a Member Type: *
1. Member *
On the date of application, the applicant shall be employed in public relations or teach or administer a Member Society recognized public relations course, or possess a degree in public relations recognized by the National Society.
2. Individual Member *
The applicant must live and work outside specific geographical areas and must meet the eligibility requirements as for Member.
3. Associate *
On the date of application, the individual is not employed full time in public relations, or is employed in functions partially related to public relations.
Contact Information:
Name of Member Society:   *
 
First Name: * Last Name: *
Organization/Employer:
Department:
Position/Title:

Note: The following address is used for billing purposes.

Business Address: *
City: * Province: *
     
Postal Code(no space): * Country:
Phone: * ex. 999-999-9999 Fax:
Email: *

Please note: As a result of the Federal Privacy Legislation (Bill C6), you are not obligated to provide us with your birth date or home address.

Home Address
City: Province:
Postal Code:
Phone: Fax:
Email:

Address to be used for Society mailings and Directory listing:


Membership Profile:
Language Preferred:  
Birth date:  

Nature of organization's business or activity:   Other:

I have been referred by:
Referred by email: