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Canadian Association of
Nurses for the Environment

Association canadienne des infirmières
et infirmiers pour l'environnement

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Who We Are
What We Do
Membership
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Membership Form and Payment

STEP 1: Please complete the form

STEP 2: Pay for your membership:

Title

Dr. Mr. Ms. Mrs. Miss Other

First Name

Last Name

CNA Member?

Yes No

Member Type?

New Renewal

Main Phone

Mobile Phone

Email

Home Address

City/Town

Province/Territory

Postal Code

Nurse Credential

LPN RN RPN NP SN

Nursing Student?

Yes No

If Student, Name of School and Year will graduate

Area of Practice

Current Position

If Affiliate Group, please provide Group Name

Do you consent to CANE sending you e-mails about upcoming events, webinars and campaigns and provincial or territorial information?

Yes No

May we share your postal code, city, and designation with your CANE provincial/territorial representative?

Yes No

Can your provincial/territorial representative email you with local updates?

Yes No

Are you willing to share our CANE posts via social media you use, such as Facebook, Twitter, Instagram, LinkedIn, YouTube, or Pinterest?

Yes No

How will you be paying your fees?

Stripe Interac Cheque/Money Order

What type of Membership are you applying for?

Regular Member Retired Member Student Member Affiliate Member

Please type any other information you wish to share here:

NOTE: If these costs are a barrier for you, please contact CANE

Credit card payment

STEP 2: To pay by credit card using Stripe, select the right member button below (Stripe is easy to use, no membership needed to use)

Regular Member $80 or $205

Any nurse, defined in the CANE constitution, residing in a province/territory of Canada is eligible for individual membership in CANE upon completion of the registration form and payment of the membership fee if applicable. Each individual member is entitled to one (1) vote and is eligible to hold a Board of Directors position. NOTE: We offer a discount 3 year membership for $205.

Regular Member 1 year $80

Regular Member 3 years $205

Retired Member $25 or $65

Any retired nurse residing in a province/territory of Canada is eligible for individual membership in CANE upon completion of the registration form and payment of the membership fee. Each retiree member is entitled to one (1) vote and eligible to hold a Board of Directors position. NOTE: We offer a discount 3 year membership for $65.

Retired Member 1 year $25

Retired Member 3 years $65

Student Member $15 or $38

Any nursing student enrolled in an approved or accredited nursing program in Canada is eligible for individual membership in CANE upon completion of the registration form and payment of the membership fee, if applicable. Each student member is entitled to one (1) vote and eligible to hold a Board of Directors position. NOTE: We offer a discount 3 year membership for $38.

Student Member 1 year $15

Student Member 3 years $38

Affiliate Member $80 or $205

Any member of another health profession or environmental/ecosystem health focused group may apply to CANE for affiliate membership, which may be conferred by the Board if the individual’s interests are in keeping with CANE ’s objectives. This membership status has no voting privileges and persons are not eligible to hold a Board of Directors position. NOTE: We offer a discount 3 year membership for $205.

Affiliate Member 1 year $80

Affiliate Member 3 year $205

Interac Payment

STEP 2: To pay by Interac, send the payment to treasurer@cane-aiie.ca

Interac etransfer payment

Cheque or Money Order Payment

STEP 2: To pay by cheque or money order, send payment to our Treasurer: Sawyer Speer, 103017 104 Ave NW, Edmonton, Alberta T5N 0V9

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