CHNAlberta Membership Form

CHNAlberta Membership Form 2018 (To select choices, scroll down or use arrow keys in the drop down boxes).
Note: By becoming a member of CHNAlberta, you are agreeing to receiving communication from us. You may choose at any time to unsubscribe from CHNAlberta communications. Unsubscribing will cancel your annual CHNAlberta membership and no refunds will be issued.  

 

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What is your primary role?
Which AHS Zone do you work in?
Which AHS Zone do you live in?
If CHN Focus is Other, please specify
What is your primary focus?
If Employer is Other, please specify