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Membership Registration

PERSONAL INFORMATION (all fields with * are required)

I WOULD LIKE TO APPLY FOR / RENEW EXISTING MEMBERSHIP

Honorary Membership (awarded by LaRRSA, cannot be applied for)

For Group Registration Only:

Group: 5 - 9 members registering simultaneously (15% discount)

Group: 10+ members registering simultaneously (20% discount)

Order

PLEASE NOTE: New applications for Professional or Associate membership have to be approved by Council, and applicants will be notified of their decisions soonest. To enable Council to approve of such application, adequate information should be supplied.

PROFESSIONAL INFORMATION AND QUALIFICATIONS (please complete where relevant)

PRIMARY FUNCTION IN WORKPLACE

The above statements are true and correct. If accepted for membership, a member shall be bound by the Constitution of the Society and any amendment thereto.

Files must be less than 128 MB.
Allowed file types: pdf doc docx xls xlsx.
Files must be less than 128 MB.
Allowed file types: pdf doc docx xls xlsx.
Valid Until Date
Format: 11/13/2018