Online Registration

Easy, Safe and Secure!

If you wish to pay for your membership online, complete the required information below & click submit.

You will be directed to the Secure Payment Page on PayPal where you have the option of using an existing PayPal account or paying directly with your credit card

Prefer to Fax or Mail in your Registration to AHPCA?

Click Here to Register by Mail or Fax (printable form)

If you need further assistance with registration or have any questions please visit our Contact Page.

  • (Volunteer, Social worker, Doctor, Nurse,etc)
    Please check the box(es) of the Interest Group(s) of which you wish to become a member.
  • If you have checked the Nurses Interest Group above please include your Provincial Licence number here.
    Choose either an Annual Membership or an Annual Membership plus the Nurses Interest Group.
  • If you would like to donate to the Alberta Hospice Palliative Care Association please enter an amount here.

    Total will be updated on payment page.

  • $ 0.00 CAD