Register

Base Information

First Name:

Preferred Name:

Middle Name:

Last Name:

Program & School in Vancouver:

School in Philippines:

Course in Philippines:

Title:

Company:

Contact Information

Primary Phone:

* Cell phone

Secondary Phone:

Cell phone

Email:

Mailing Address

Address:

City:

Country:

Province:

Postal Code:

Profile

Membership Directory:

Click Yes to display your member profile in the Membership Directory.

Yes

Application Fee

One time administration fee.

Application Fee : $50.00

Membership Dues

Associate : $50.00