Membership Application Form
Personal Information
First Name
Last Name
Date of Birth
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Gender
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Gender
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Primary Zone
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Primary Zone
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Email
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Cell No
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Date of Application
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Mailing Address
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Office
Home
Certification
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FRCSC
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Street Address
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City
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Province
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Postal code
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Subspecialty Area(s)
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Arthroplasty
Foot & Ankle
General Orthopaedics
Hand & Wrist
Paediatrics
Shoulder & Elbow
Spine
Sport Medicine
Trauma
Tumour
Upper Extremity
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Administration
I am interested in joining AOS leadership
I am interested in participating in AOS committee work
Consent
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Yes, I consent to receive communications, including emails and newsletters. I understand I can opt out at any time.
No, I do not wish to receive communications via email.
Payment Information
Collect Payment (Visa/MasterCard only please)
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Practicing Surgeon ($1,000)
Subscription
CA$1000
Non-Practicing Surgeon ($175)
Subscription
CA$175
Auto-Renewal Authorization
By selecting this option, you agree to enroll in automatic renewal for your membership. This means your membership will be automatically renewed at the end of each term using the payment method provided, unless you cancel prior to the renewal date. You will receive a reminder before any renewal charge is processed. You may cancel auto-renewal at any time by contacting us at caroline@abortho.org or through your account settings.
The AOS membership year is from November 1 to October 31
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