- Page 1 of 5 (APPLICANT INFORMATION)

Period of Renewal
April 1, 2021 to March 31, 2022

Fees
Regular Member - FREE (under agency registration)
Associate Member - $25.00
Student - $12.50

Page 1 of 5 - APPLICANT INFORMATION

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APPLICANT INFORMATION - Tell us about yourself!

All fields marked with a star are required information.
AAPI Registration Number

If this is a first time application, you will not have this number. Anyone renewing must insert their number.
Name Name * First Last
Permanent Mailing Address Permanent Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
PI Licence *

This will be the number from your licence certificate or card.
Province of Issue *
Date of Expiry Date of Expiry * / MM / DD YYYY
Email Address *
Business Phone Number Business Phone Number * - ### - ### ####
Fax Number Fax Number - ### - ### ####
Residential Phone Number Residential Phone Number - ### - ### ####
Thank you! You will automatically be included in the AAPI email group.

Now click the button below and tell us a bit about where you work.
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

Page 1 of 5 - APPLICANT INFORMATION

APPLICANT INFORMATION - Tell us about yourself!

Thank you! You will automatically be included in the AAPI email group. Now click the button below and tell us a bit about where you work.

Thank you! You will automatically be included in the AAPI email group.

Now click the button below and tell us a bit about where you work.