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Individual Membership - $50 CAD / One Time (for 1 year access, non-recurring)

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First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Address *

City *

Province *

Postal Code *

Primary Phone *

Alternate Phone

Secondary Email

Amateur Radio Call Sign

Current Position

Current Employer

Please identity the best description for your emergency management involvement *

EMBC Region or general geographic area of responsibility *

Included in Membership Directory on Website? *
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Deployment Database Information

Included in Deployment Database? Information will be available to BCAEM Members. *
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Billing Method

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Billing Address

Street Address *

City / Town *

State / Province *

Postal / Zip Code *

Country *

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Please note that membership is from date of purchase until the end of the calendar year. Exception for those registering between end of October through December of the previous year membership is extended through the following year.

Other Payment Options:

Etransfer to Executive.Director(atsign)bcaem.ca
Mail cheque to BCAEM
PO Box 40184, RPO Woodgrove, Nanaimo, BC V9T 6M7