Members
Member [Registration]  * Mandatory fields * First Name: * Last Name: * Email Address: * Password * Re-enter Password * Member Type: General Member Student Member   * Mailing Address: * City: * Country: Please select Australia Barbados Belize Bermuda Bosnia and Herzegovina Cameroon Canada China Cyprus Egypt England Ethiopia Hong Kong India Indonesia Israel Japan Jordan Kuwait Lebanon Mongolia Nigeria Pakistan Philippines Romania Saudi Arabia senegal Singapore South Africa St. Kitts The Netherlands Trinidad and Tobago Turkey UAE Uganda UK Ukraine USA Other Country - Other: * Province: Please select Province - Other: * Postal Code:   * Day Time Phone Number: - Extension: Alternate Phone Number: -   Business Name for Directory: Employer: Title: I am interested in information about CACPT I wish to be listed in the CACPT Membership Directory NOTE: If you are a new Member, were you referred by a current Member?   Select Yes No Name of Member: