Online Member Application

Grande Prairie Petroleum Association

About You

* Asterisks Indicate Required Sections

Name(Required)

First Last

Address(Required)

ALERT: Please ensure this address matches your Credit Card Statement address or payment may fail. Note that your credit card may have a corporate address.

Street Address Address Line 2 City Province Postal Code

Contact Information

Email(Required)

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I'd like to sign up

Main / Business Phone

Home Phone

Cell Phone(Required)

Employment

Name of Employer(Required)

Occupation(Required)

GPPA Membership

Have you ever been a member of GPPA?(Required)

Yes

What was the most recent year you were a member (e.g. 2014)?(Required)

From your previous association with the GPPA, do you have any suggestions for improvements?

Application Fees

Application Fee

Price:

Meeting Fees (Meals & Drinks)

Meeting Fees - 2017 Package Quantity

The meeting fees package cover meals & expenses at monthly meetings for all of 2017. Save $27 with this option. NOTE: This option expires on January 19, 2017, so get it before it's gone!

Price: $ 290.00 CAD

Quantity

Individual Meals Quantity

You may also choose to purchase individual meals (one meal covers one meeting). Each meeting/meal is $40.00.

Price: $ 40.00 CAD

Quantity

Drink Tokens Quantity

Use this to purchase additional drink tokens. Each token is good for one drink at a meeting.

Price: $ 6.00 CAD

Quantity

Total Registration Fee

Credit Card(Required)

American Express

MasterCard

Visa

Supported Credit Cards: American Express, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Learn More:

Membership
Board of Directors Meetings
General Meetings
Member Benefits
GPPA/NWP Bursary
Pay Meeting Fees

Online Member Application

About You

Contact Information

Employment

GPPA Membership

Application Fees

Meeting Fees (Meals & Drinks)

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