Retired Membership Application

Thank you for your interest in becoming an OPHA member for 2023/24. Your membership will be
active for 1 year from the date of registration. Please complete all applicable sections of the following form.

If you click 'Please renew my membership automatically', your membership will automatically renew next cycle for another one-year term at a rate of $100 using the payment method and payment options (split or in full) selected, unless you provide notice to us of your intent to terminate your membership at least 30 days before your membership expires. Please contact membership@opha.on.ca for more information or to cancel your renewal.

To make changes to an existing membership, such as to opt-in or opt-out of previously set autorenewal status while your membership is still current, please contact the OPHA team at the email address listed above.  

Become a member
 
Total Amount
Profile Information

Your paid membership includes access to our monthly electronic publications and updates. Please indicate how you would like to stay in touch with the OPHA below.

Note: We value your privacy, and you can subscribe or unsubscribe from any of these services at any time

Please indicate if you would NOT like to receive the following.
Please select the topics that are of interest to you
  
 
Through OPHA’s new online networking directory, you will be able to find and connect with other members who may share similar backgrounds and areas of interests, unless you opt out.
Credit Card
*
*
*
 
Billing Name and Address
*
*
*
*
*
*
*
Split Payment
Scroll to Top