Student Membership

August 19, 2020 0 comments webmaster

If you have already registered on this site before, please login before completing your purchase using the form below:

Terms:

$10.60 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Membership Number: Membership Number is not valid

How many years have you been in Canada?: How many years have you been in Canada? is not valid

Phone:* Phone is Required

Graduation Surname: Graduation Surname is not valid

Bachelor Degree Graduation Department:* Bachelor Degree Graduation Department is Required

Bachelor Degree Graduation Year: Bachelor Degree Graduation Year is not valid

Master's Degree Graduation Department:* Master's Degree Graduation Department is Required

Master's Degree Graduation Year: Master's Degree Graduation Year is not valid

PhD Degree Graduation Department:* PhD Degree Graduation Department is Required

PhD Graduation year: PhD Graduation year is not valid

Company: Company is not valid

Title / Position: Title / Position is not valid

Do you want to publish your membership information in our roster?:* Do you want to publish your membership information in our roster? is Required

YES NO

Short Bio: Short Bio is not valid

Contact Person In Case of Need: Contact Person In Case of Need is not valid

Relationship with Contact Person: Relationship with Contact Person is not valid

Contact Person Phone Number: Contact Person Phone Number is not valid

Refer a friend via email: Refer a friend via email is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Terms: $10.60 / Year

Description	Amount
Student Membership – Initial Payment	$10.60
Total	$10.60

Select Payment Method

Stripe Interac

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