CANADIAN ASSOCIATION OF RESEARCH ETHICS BOARDS
ASSOCIATION CANADIENNE DES COMITES D'ETHIQUE DE LA RECHERCHE
("CAREB - ACCER")

CAREB - ACCER MEMBERSHIP FORM

Annual Membership April 1, 2010 to March 31, 2011

Simply fill out all of the necessary information directly on the form, print the form and you MUST mail the completed form along with your payment made out to Canadian Association for Research Ethics Boards (CAREB - ACCER) to:

Make cheques payable to: Canadian Association for Research Ethics Boards, c/o
Rachel Zand
Director, Office of Research Ethics
12 Queen's Park Crescent West 2nd Floor
Toronto, ON M5S 1S8

Inquiries: For membership, please contact Rachel Zand at (416) 946-3389 or email: registration@careb-accer.org

All fields must be completed carefully as this information is used for the CAREB Directory

First Name:
Last Name:
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Organization:
Title of REB:
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MEMBERSHIP is $75..00
Pay with Credit Card or PayPal?: YES	NO
Total Payment:$
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If you choose PAYPAL, after you submit this form you will be taken to a page where you should click the SUBSCRIBE button to make your payment.
You should only need to Submit the form ONCE. If you wish to make a change after you submit, please contact registration@careb-accer.org. There is no Mass subscription. If you are registering a group from an institution, please use individual names and submissions.