Membership Registration

	Individual	Full Site/Department Participation
Regular Member	$900	$600
Part-Time	$450	$300
First-Time	$450	$300
First 5 years of practice	$450	$300

Individual

Full Site/Department Participation

Regular Member

$900

$600

Part-Time

$450

$300

First-Time

$450

$300

First 5 years of practice

$450

$300

Registration Form

I want to sign up as a BCAS member and pay membership dues

User Name *

User Password *

User Email *

Confirm Email *

First Legal Name *

Last Name *

Medical Corporation Name

Primary Practice Site (e.g. name of hospital) *

Secondary Practice Site

Health Authority *

Position at Primary Practice Site *

Staff
Locum

Position at Secondary Practice Site

Staff
Locum

Please do not use a hospital or health authority email address.

Mobile Phone Number *

Please indicate your personal mailing address here:

Address *

Address Line 2

City *

Postal Code *

Membership Category *

Full-Time or Part-Time *

Part-Time is defined as earning less than $150,000 in anesthesiology-related income in the calendar year.

Please subscribe me to the following: *

BCAS_Community Listserve (for discussion of clinical and general topics)
BCAS member email list (FastFacts, for monthly updates)

DUESYour membership dues will be invoiced directly to you at the email address provided above upon receipt and processing of this membership information form.

If you encounter any issues with registration or login, please don't hesitate to contact us at memberengagement@bcanesthesiologists.ca or call us at 604-256-4886 for assistance.

Registration Form