CAPAPA
CANADA'S VOICE OF PRIVACY AND ACCESS
 la porte parole canadien pour l’accès et la vie privée
  MEMBER UPDATE  

 

 

  
 

Please complete all fields to ensure that your membership information is current and correct.

Bullet = Required

Personal Information

Prefix:

First Name and Middle Initial: Bullet

Last Name: Bullet

Company/Institution/Agency:

Title / Rank:

Address: Bullet

Address 2:

City:

Province/State and Postal Code/Zip:

Country:

Work Phone:

Bullet (include area code)

Email Address: Bullet

Would you like to be listed in the directory?: Bullet

yes - name and business contact info only
yes - name and residential contact info only
yes - complete contact info
no

Industry:

If "Other", please specify:
I am a member of the following
professional organizations:
I was referred to CAPAPA by:
What do you want most from your
membership in CAPAPA?:
(Please tell us so we can understand your expectations.)
   
   
 

SPEAK UP

Complete and return this form to ensure your personal information on record is correct.

To avoid sending personal information over the Internet, complete and print this Membership Update and mail it to CAPAPA:

Canadian Association of Professional Access and Privacy Administrators
300 - 440 - 10816 Macleod Trail SE
Calgary, Alberta, Canada T2J 5N8