Standard Membership Application

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Membership Applications MUST be filled out in full. (This includes FULL Name & FULL Mailing Address)
You may be asked for further identification verification information upon receipt of this application to complete the membership process.
Your email and personal information is being collected on this application for identification verification purposes and remains completely confidential with The Canadian PSW Network. This information will never be shared with anyone outside of The Canadian PSW Network, or its immediate affiliates.
***ONLY OPEN TO RESIDENTS OF ONTARIO, CANADA***

Email *

Please confirm your Email *

FULL First & Last Name *

FULL Mailing Address (including Postal Code AND P.O. Box if applicable) *

Phone number *

Are you a: *

PSW with Certificate

PSW or Equivalent with NO certificate

By clicking on "I AGREE", you are acknowledging you understand this is a "Standard" Membership which will renew yearly and does not include any health benefits, or insurance benefits. Those are optional to purchase directly at an *additional* cost to you. *

I agree

By clicking on "I AGREE" below and "Submit" at the end of this application, you are acknowledging that you have read, and understand the membership's Code of Ethical Conduct, Standard of Practice & Privacy policy(s) as outlined on The Canadian PSW Network website. * *

I agree

Send me a copy of my responses.

Submit

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