CAGH Membership Application

Thank you for considering to become a member of CAGH. Membership benefits include reduced rates to the Canadian Conference on Global Health, our online newsletter, the opportunity to participate in our working groups, our Board of Directors and various Global Health events across Canada

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CAGH Membership * Required

	Regular - 1 Year
Invidual Membership	$ 100.00
Student and Young Professional Membership	$ 35.00
LMIC-based Membership	$ 35.00

Taxes are extra as applicable.

Promo Code

Please enter the promo code if applicable:

Personal Information

First Name * Required Last Name * Required Organization Job Title What department do you work in? Industry * Required Why do you want to be a member of CAGH?

Address Information

Address 1 Address 2 City Country Province/State * Required

Postal/Zip Code

Contact Information

Telephone (Use only: [0-9 and -]) Ext Cell

Email * Required Confirm Email * Required Website URL Facebook Twitter LinkedIn

CAGH membership emails * Required

I agree to receive CAGH emails, and understand that I can unsubscribe at any time.

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Security Captcha * Required

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