Membership Registration Annual fee of $50.00

Personal Information
Organization
CHPCA Interest Groups

Please check the box(es) of the Interest Group(s) of which you wish to become a member.

**Nurses Group Membership: If you are a nurse and want to be a member of the Nurses Group, $40.00 will be added to the membership fee. Please ensure you provide your e-mail address in the space provided (above) to ensure you receive your electronic invitation to join the Nurses Group list serve.