Manitoba Psychiatric AssociationBecome A Member or Renew Membership for 2021Note: If you have already paid membership dues by cheque and are registering for the website, enter your information in this form and select the appropriate 'paid by cheque' option in the payment section at the bottom of the formRegister Register to Become A 2021 Member Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Email* Phone*Password Enter Password Confirm Password Strength indicator Business Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Do you want your information available to other members on the website?* Yes No Membership Level (note payment by cheque options at the bottom of list)* Full Membership (Must be licensed to practice medicine in Manitoba and certified in Psychiatry by the Royal College of Physicians and Surgeons of Canada or registered as a specialist in psychiatry by the College of Physicians and Surgeons of Manitoba) Associate Membership (Every qualified member of regulated health Professions as defined by The Health Professions Act of Manitoba, or is a registered trainee in those professions may apply to become an affiliate. Affliates may not vote or hold executive office) Resident Doctor Membership (Any resident doctor who is registered in a post-graduate training program in psychiatry or any other discipline including psychology may apply to become a member-in-training) Resident Doctor Membership [Psychiatry Residents Association of Manitoba Members] (Any resident doctor who is registered in the post-graduate training program in psychiatry at the University of Manitoba may apply to become a a member-in-training - please note that the MPA has waived the membership fee for 2020 for members of PRAM) Students at Rady FHS (payment by cheque $125.00) Full Membership (Must be licensed to practice medicine in Manitoba and certified in Psychiatry by the Royal College of Physicians and Surgeons of Canada or registered as a specialist in psychiatry by the College of Physicians and Surgeons of Manitoba) (payment by cheque $50.00) Resident Doctor Membership (Any resident doctor who is registered in a post-graduate training program in psychiatry or any other discipline including psychology may apply to become a member-in-training) Online payments are through secure credit card service. For cheque payments send to: Manitoba Psychiatric Association, PZ420 - 771 Bannatyne Avenue, Winnipeg MB, R3E 3N4 Total $ 0.00 CAD Credit CardCard Details Cardholder Name Renew
