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REGISTRATION - General Counsellor
Full Membership

( Participation Status )

Please complete the following fields with *

 Picture in Profile Page File:
Select a Login Name *:
First Name *:
Last Name *:
E-mail *:
Web address/Home Page :

Address *:  
City *:
Province *:
Postal Code *:
Phone ( only numbers) *:
Select "most" appropriate area *:
Professional Category *:
Name of Provincial Assoc. and Admission Year :  
Date of Establishing Org. *:
Description Counselling Expertise *:  
Hobbies:  
Your Computer IP number:
(For security reasons)

You shall be entitled to display the member vignette on your letter heading and website. The entity must be "registered" under the Canada Business Act.

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