Account Setup Member Registration Please fill in the information below and we'll have the payment instructions at the end. Username* Password* Confirm Password* * Mandatory Information ** Please take note of your username and password to access the member area. Member Information First Name* Last Name* Home Address Home Phone Number Cellphone Number* Email* Business Address Business Telephone University Attended* Graduation Year Specialty License Number * Mandatory Information Membership Type and Payments Options Choose Membership Type* Regular: $295 Resident: $295 New Graduate: $295 Student: Free Choose Payment Option* eTransfer Cheque or Money Order • Click Submit for the payment procedure details.