Title
Ms Miss Mrs Mr Dr
First Name*
Last Name*
Profession*
--- Dietitian Medical student Resident Nurse Nurse Practitioner Pharmacist Physician Physician assistant Post-doctoral Fellow Primary Care Physician Other
If other, please specify
Address*
Address 2
City*
Province*
--- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Country*
--- Canada
Yes, I would like to receive communications from Hypertension Canada
If you want to re-attempt, there will be a $50 administrative fee.
Total :
I have read and agree to the terms of the Privacy Policy .
We only collect personal information relevant and necessary to our programs and services, which include:
Membership with Hypertension Canada, upon sign up
Our monthly electronic newsletter, eINFO, upon sign up
Our professional education programs, upon registration:
Our annual Canadian Hypertension Congress, upon registration or abstract submission
Our educational materials, upon placing an order
Donations made via Canada Helps, upon donation
We collect information fairly and lawfully, and directly from individuals wherever possible to ensure we do so accurately. At this time, we collect personal information through the
activities listed above, through the method(s) you choose (via website, mail, phone, fax or verbal request) to request them. Please refer to our privacy policy.