Student Membership

Name*

First Last

Program of Study*

Post Secondary Institution*

Program Head | Professor Name

Program Head | Professor Email

Mailing Address*

Street Address City Postal Code

Province or Territory*

Telephone #*

Email Address*

Alternate Email

Willing to Volunteer?

Yes
No Thank You

Privacy Statement

Send me IPMA Canada event notifications, newsletters, marketing or other membership material?*

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.*

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*

Yes
No

Payment

Select Province | Territory*

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

Total

$ 0.00 CAD

Payment Options:*

Pay online now with credit card
Pay by eTransfer

Credit Card*

Card Details

Cardholder Name

Pay by eTransfer:
Please email your payment to:
ipmacanada@ipma-aigp.com

Name

This field is for validation purposes and should be left unchanged.

Application for Student Membership

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Payment

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