Student Membership Application

Thank you for your interest in becoming an OPHA member for 2021/22. Membership will end March 31, 2022. Please complete all applicable sections of the following form.

At the end of the membership cycle, your membership will automatically renew for another one-year term at a rate of $90, 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.  

Become a member
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Please enter a Username to create an account. If you already have an account please login before completing this form.
Profile Information
Type the name the academic institution you attended and select. If it's not listed, add it to the Other field below.

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.
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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
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Billing Name and Address
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