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Registration
Complete the form below to register with ICAN Canada. A registration fee of $25 in addition to applicable annual dues will be collected. All payments are non-refundable.
Step
1
of
3
- Personal Data
33%
Username
*
6-8 Alphanumeric Characters only
Password
*
Title
*
Mr.
Mrs.
Ms.
Dr.
Prof.
Name
*
First
Middle
Last
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Yukon
Province
Postal Code
Birth Day
*
Select Your Birth Day
1
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Select Your Birth Day
Birth Month
*
Select Your Birth Day
January
February
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September
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November
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Select Your Birth Month
Gender
*
Male
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Marital Status
*
Single
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ICAN Membership Number
*
MB099999
Firm/Company Name
Work Title
Year Qualified
1975
1976
1977
1978
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1981
1982
1983
1984
1985
1986
1987
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1998
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2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Select Year
Are you financially up to date with ICAN Nigeria?
*
Yes
No
Status of Member
*
ACA
FCA
CPA - Province of Certification
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Other Designation(s)/Certificates
Separate with commas
Short Bio
Share a little information about yourself.
Registration Fee
Reg Fee ($25)
Already Paid
The registration fee is non-refundable
Date Paid
*
MM slash DD slash YYYY
Annual Dues
*
ICAN Canada Dues Only $80.00
FCA Dues $125.00
ACA Dues $100.00
Please select all the dues you are paying today
Total
$ 0.00 CAD
Credit Card
*
Card Details
Cardholder Name
Comments
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