Online Member Application

About You
* Asterisks Indicate Required Sections
Name*
First Last
Address*
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*
Get updated on GPPA events, registrations & industry news by email and text messages.
- I'd like to sign up
Main / Business Phone
Home Phone
Cell Phone*
Employment
Name of Employer*
Occupation*
GPPA Membership
Have you ever been a member of GPPA?*
- Yes
- No
What was the most recent year you were a member (e.g. 2014)?*
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
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
Drink Tokens Quantity
Use this to purchase additional drink tokens. Each token is good for one drink at a meeting.
Price: $ 6.00 CAD
Total Registration Fee
$ 0.00 CAD

About You