Membership Renewal Application

Do you still need to renew for the PREVIOUS YEAR September 1st 2011- August 31st 2012?
OR Are you looking to join BCPA for the first time?

Call us at 604-730-0501 to get an application form. Please do not use the form below.

The membership renewal deadline for the year September 1st 2012- August 31st 2013 is August 31st, 2012. Please log in first and you may renew online. Please be aware that if you renew after August 31st, 2012 you will be subject to a late fee.

Please keep in mind that you will only be eligible for liability insurance discounts through BCPA if you remain a member in good standing.

Membership Terms & Conditions

By becoming a Member, Member with Referral Service, Out of Province Member, or Retired Member of BCPA, you agree to the following terms:

You will be a registrant in good standing with the College of Psychologists of BC during the time you are registered as a BCPA Member;
If limitations are put on your practice, or your registration is suspended or cancelled by the College of Psychologists of BC, you agree to notify BCPA within five working days;
You agree to review and adhere to the E-mail Forum guidelines;
If there are any limitations, terms or conditions to your registration to practice psychology, you agree to modify your practice accordingly, and apply these limitations to all referrals received through the BC Psychological Association;
You agree to review your referral settings online every four months for accuracy of contact information, geographical areas of service, and areas of practice.

Please continue by choosing one of the membership options below.

	Member - $ 343.66 Plus Tax (GST) Open to R. Psychs. & R. Psych. Assocs. You must be a registrant in good standing with the College of Psychologists of BC.
	Member with Referral Service - $ 505.69 Plus Tax (GST) Open to R. Psychs. & R. Psych. Assocs. Includes a web profile. You must be a registrant in good standing with the College of Psychologists of BC.
	Retired Member - $ 56.71 Plus Tax (GST) To become a Retired Member of the BC Psychological Association, you must be registered in good standing with the College of Psychologists of BC. You must already be a registrant with the College at the time of joining BCPA.
	Out-of-province Member - $ 56.71 Plus Tax (GST) To become an Out-of-province Member of the BC Psychological Association, you must be registered in good standing with the College of Psychologists of BC. You must already be a registrant with the College at the time of joining BCPA.
	(Your initial membership fee will be processed once you complete the confirmation step. You will be able to cancel automatic renewals at any time by logging in to your account or contacting us.)

Email Address *

Please enter a user name to create an account . If you already have an account, please login before completing this form.

Username *

Check Availability
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

Name and Title

Title

First Name *

Middle Name

Last Name *

Gender *

Female Male(clear)

Membership Application Information

Current Employer

If you are self-employed, please do not fill in this field. Please do not use abbreviations.

Street Address (Main) *

City (Main) *

Postal Code (Main) *

Country (Main) *

Province or State (Main) *

Phone (Main) *

If you have a referral membership, you can choose to show the above phone number in addition to the work numbers that can be added in the referral settings page. The default is to not show your main phone number.

Show above number in referral page? *

Yes No

Fax (Main)

CPBC # *

Please enter your College of Psychologists of BC registration number. Preceding zeros are not required.

Phone (Work)