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 email@example.com.
|Annual Membership - 1 Year||$299.00|
|Annual Membership - 2 Years (Save 10%)||$538.20|
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If paying by cheque, please send your form, all supporting documents and your cheque to:
1150-45 O'Connor St.,
If you have any questions please email us at firstname.lastname@example.org or call us toll free at 1-855-88PHPIC (1-855-887-4742).