Emeritus Membership

Emeritus Membership Application

Name*
First Last
Mailing Address*
Street Address City Postal Code
Province or Territory*
Home Telephone #*
Home Fax #
Home Email*
Chapter*
Membership ID#
Previous Membership Category*
- Individual
- Certified
Date you became a member of IPMA- Canada:*
Retirement Date:*
Emeritus Membership*
- Emeritus Membership Only $25
- Emeritus Membership + Certification $75
15% HST
$ 0.00 CAD
5% TAX
$ 0.00 CAD
11% TAX
$ 0.00 CAD
12% TAX
$ 0.00 CAD
13% TAX
$ 0.00 CAD
Payment Options:*
- Pay now with Credit Card
- Pay by eTransfer
Total
$ 0.00 CAD
Credit Card
Card Details
Cardholder Name
Pay by eTransfer:
Please email your payment to:
ipmacanada@ipma-aigp.com
Phone
This field is for validation purposes and should be left unchanged.