New Member Application
To join PHPIC, please click on the application below, print it and fill it in. If you are paying by Visa or MasterCard, you can email your form and all supporting documents to firstname.lastname@example.org. If paying by cheque, please send your form, all supporting documents and your cheque to:
Application for New Membership
1150-45 O'Connor St.,
If you have any questions please email us at email@example.com or call us toll free at 1-855-88PHPIC (1-855-887-4742).
Amount: $299.00 (1 Year)
Amount: $538.20 (2 Years - Save 10%)
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