CPSC 2021 Membership Application and Renewal

2019 Membership Registration and Renewal form

Please complete all portions of this form. Thank you so much.

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* 1. Your first name:

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* 2. Your last name:

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* 3. Your firm or business name:

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* 4. Your address (1st line):

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* 5. Your address (2nd line):

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* 6. Your city:

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* 7. Your postal code:

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* 8. Your email address:

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* 9. Your fax number (xxx) xxx-xxxx:

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* 10. Your phone number (xxx) xxx-xxxx:

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* 11. Your profession:

Lawyer

Family Professional

Financial Professional

Other (please specify)

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* 12. What level of training do you have?

Level 1 only

Level 1 and 2 only

Level 1, 2 and other courses

No training but I am interested in taking Level 1

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* 13. I will provide information for my profile on the association website or if I already have a profile on the website, I will ensure it is accurate at all times and advise of any changes.

Yes, I will send you a photo and profile information.

Yes, I will ensure my existing profile is accurate.

No, I do not wish to have my profile on the website.

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* 14. The annual fee is now as follows:
$275.
Of the fees, $30 is paid to the Ontario Collaborative Law Association (all collaborative practice groups in Ontario pay this to the OCLA) and $145 USD (about $190 Canadian) is paid on your behalf so that you will be a member of the International Academy of Collaborative Professionals. We are committed to all CPSC members becoming IACP. The remainder is used to maintain our website and pay for any other activities for our membership.

I will mail a cheque to CPSC c/o Galbraith Family Law, 124 Dunlop Street West, Barrie, Ontario, L4N 1B1

I will telephone Virginia at Galbraith Family Law (705) 727-4242 and provide a credit card number over the telephone.

I am a member of IACP already through another practice group or as an individual member. Therefore, I will not pay the protion intended for IACP.

I will pay by credit card (Visa or MC) and here is my credit card number. (I realize this is not a secure portal):

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* 1. Your first name:

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* 2. Your last name:

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* 3. Your firm or business name:

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* 4. Your address (1st line):

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* 5. Your address (2nd line):

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* 6. Your city:

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* 7. Your postal code:

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* 8. Your email address:

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* 9. Your fax number (xxx) xxx-xxxx:

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* 10. Your phone number (xxx) xxx-xxxx:

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* 11. Your profession:

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* 12. What level of training do you have?

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* 13. I will provide information for my profile on the association website or if I already have a profile on the website, I will ensure it is accurate at all times and advise of any changes.

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* 15. What subject would you like us to present in a workshop or activity?