Membership Application - MCIP-I

Contact Info

Prefix

First Name *

Last Name *

Email (Personal) *

Organization/Employer *

Phone *

Phone (Cell)

Fax

Secondary Email (Work) *

If you don't have a second email, enter the same email address twice.

Please select who you currently hold a professional membership with. *

What is your current membership type? *

Home Address

Street Address *

City *

Province / Territory

Province / Territory (International)

Country *

Postal Code *

Business Address

Street Address

City

Province / Territory

Province / Territory (International)

Country

Postal Code

Address to be listed on invoice *

Preferred address to receive mail *

Communication Preferences

Would you like to appear in the public directory? *

Opt out of third party mail? *

How did you hear about us?

I certify that the information I have provided on this form is correct, and that I am eligible for the membership category for which I am applying *

I certify that I understand that subscription and membership fees (if applicable) are non-refundable *
Yes, I understand that MCIP-I does not provide me with legal work and/or residency status in Canada, and that MCIP-I is not equivalent to the Registered Professional Planner (RPP) or other provincially regulated titles. *