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


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.,
Ottawa, ON
K1P 1A4

Application for New Membership

If you have any questions please email us at or call us toll free at 1-855-88PHPIC (1-855-887-4742).

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