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You have selected the Student Membership (Includes CJA) membership level.

The price for membership is $15.00 per Year.

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Email Address

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Personal Information

Title

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Last Name (capital only on first letter please)

Street Address

City

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Phone
e.g. 555-555-1234

Website
e.g. https://csam-smca.org

LinkedIn
e.g. https://www.linkedin.com/in/username/

Twitter
e.g. https://twitter.com/username

Area of Speciality

FRCP/S Other

PhD Other

Other

Short Biography

I consent to have my Name, City, Province, LinkedIn and Twitter Profiles, Area of Specialty and Biography published in the CSAM-SMCA online directory. Beyond this limited use, CSAM-SMCA will never sell or share your personal information. I understand that the details I’ve provided here will be used to support the operation of the society and to send me emails and updates regarding the work of the society and my membership.

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Membership Checkout

Membership Level change

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Personal Information

Payment Information We Accept Visa, Mastercard, American Express, and Discover

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