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Renew Your Membership
IPMA-Canada Membership Renewal Form
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Select your IPMA-Canada Membership category:
Certified Member includes: IPMA-CP, IPMA-ACP, IPMA-CPIT
Individual Member $125
Certified Member $175
Emeritus Member $25
Emeritus Certified Member $75
Student Member $25
Membership ID#
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Name
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First
Last
Mailing Address
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Street/Box
Town/City
Province/Territory
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Telephone #
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Extension
Alternate Telephone #
Email Address
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Alternate Email
Individual & Certified
Position | Title
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Organization
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Organization Type
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Federal Government
Provincial/Territorial Government
Municipal Government
Indigenous Government
Educational Institution
Health Care Authority
Crown Corporation
Not-For-Profit Organization
Private Sector Organization
Student
Program of Study
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Post Secondary Institution
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Program Length
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i.e. 1 year, 3 years, 9 months, etc.
Currently in what year of program?
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Expected completion:
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i.e. Fall, Winter, Spring, Summer of 202?
Name of Program Head or Professor
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Email Address for Program Head or Professor
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Emeritus
Date you became a Member of IPMA-Canada
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Month
Day
Year
Retirement Date
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Month
Day
Year
Privacy Statement
Send me IPMA-Canada event notifications, newsletters, marketing or other membership material?
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Yes
No
Can IPMA-Canada provide your name and mailing address to other organizations so that you can receive relevant HR professional development or HR information materials. No email address will be provided.
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Yes
No
Do you grant permission to have your name, work address and email provided to other members of the organization for networking purposes i.e. Membership Directory
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Yes
No
Willing to Volunteer?
National Executive Committee
IPMA-Canada Strategic Project Initiative
IPMA-Canada National Conference Planning Committee
Guest Speaker
Sponsor
No Thank You
Are you GST/HST exempt?
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No
Yes
Subtotal
$ 0.00 CAD
Hidden
Tax
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
If you have a coupon code enter it here:
Total
Payment Options:
*
Pay online now with Credit Card
Pay by eTransfer
Pay by Cheque
Enter your credit card information:
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Card Details
Cardholder Name
Pay by eTransfer:
Please email your payment now, to
ipmacanada@ipma-aigp.com
Pay by Cheque:
Please mail your cheque to:
P.O. Box 101 Stn Main
Tillsonburg, ON N4G 4H3
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Renewal date
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Next Renewal Date
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Email
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