Pay Membership Dues CARDP Pay Dues (2017) Membership Dues Payment 1 12 2 1 Member Information PrefixDr.First Name*Last Name*Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone* Select Your Membership Category TypePAY CURRENT 2017 DUES*Select CategoryActive/Fellow Membership Fee - $600Life Member-$0Honorary Member-$0Military Membership Fee - $325Faculty Membership Fee - $325Technician Membership Fee - $4752nd Year Dentist Membership Fee - $300PAY PAST 2016 DUESSelect Category2015 Dues Paid - $ 0.00Active/Fellow Membership Fee - $600Life Member-$0Honorary Member-$0Military Membership Fee - $325Faculty Membership Fee - $325Technician Membership Fee - $4752nd Year Dentist Membership Fee - $300JPD JOURNAL ONLINE SUBSCRIPTION - NO LONGER AVAILABLEDEADLINE PASSED Price: $ 250.00 CAD Quantity: DonationsYoung Authors Fund - Additional Donation-- select fund amountAuthors Fund $50Authors Fund $100.00Authors Fund $150.00Authors Fund $200.00Dental Students Award Fund - Additional Donation-- select fund amountStudents Award Fund $50Students Award Fund $100.00Students Award Fund $150.00Students Award Fund $200.00Total $ 0.00 CAD 3 Payment Total $ 0.00 CAD Starfield Security Card TypeVisaMastercardName On CardCredit CardExpiry Datemm/yyAlternative PaymentForward Payment to: CARDP Administration 75 Charlottetown Way Dartmouth, Nova Scotia B2W 3B5 Pay By Cheque If paying by cheque, please make cheque payable to "CARDP" for the Total Cost above. Please click "Register" below, then include your name and cheque by mail to: CARDP / ACDRP Administration 75 Charlottetown Way, Dartmouth, Nova Scotia, B2W 3B5 E-Mail: info@cardp.ca EmailThis field is for validation purposes and should be left unchanged.
