New Member Registration

Please only use this form for new registrations.
To renew your existing membership, click here.

To join Network Canada, please fill out the following profile. The information gathered is confidential and will not be shared with other organisations. Your profiles help us determine your needs and interests, as well as providing other members with a snapshot version of you!

Click here for the benefits of a Network Canada membership.

After you have registered successfully, a Network Canada welcome pack will be posted to you, which includes a copy of Network Canada's 'Guide to Living in London'. Please make sure to include your full postal address below.

A one-year membership with Network Canada costs £20.

	Arrows indicate a required field
First Name:
Last Name:
Email:
Select a Password:
Address 1:
Address 2:
City:
Country:	UK or Canada or Other, please specify
Post Code:	Make sure your post code matches the rest of your address
Is the above a Business Address?	Yes No
Home Phone:
Work Phone:
Mobile:
Fax:
Job Title:
Company:
Company Web Site:
Industry:
Canadian Hometown:
Canadian Province:
Undergraduate University:
Graduate University:
Age Group:
Tell us a bit about yourself (max 255 characters)
How did you hear about Network Canada?	Work Canadian High Commission Web Friend Other
When did you arrive in London? (mm/yyyy)	/
Would you like to receive Beaver Trails, our monthly e-newsletter?	Yes No
Would like to help organize social events?	Yes No
Would you like your information to be visible to other Network Canada members?	Yes No
Are you interested in receiving information about other Canadian clubs in the UK?	Yes No
I have read and agree to the Terms of Use

Refunds will be given at the discretion of the Network Canada Board of Directors

> 10 March 2010 <

New Member Registration

Online Registration