CSIH Membership Application

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

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CSIH Membership * Required

	Regular - 1 Year
CSIH Regular Membership	$ 50.00
Student/Non-Wage Earner	$ 25.00
Organizational	$ 250.00

Taxes are extra as applicable.

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Personal Information

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Address Information

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Contact Information

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CSIH membership emails * Required

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Professional Information

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