New Membership Application


To apply for a membership, select a type of memberships and pay through PayPal with your credit cards, then complete and submit your registration form below (all membership materials will be sent to the address indicated). If you do not want to submit your registration form electronically, you may print the form and fax or mail along with payment to the CPGPS Office.

Step 1: Select a type of memberships and pay through PayPal with your credit cards

Student Membership US$10
Individual Membership US$30
Corporate Membership US$200

* are required fields.
Step 2: Provide Name, Company and Email Address
    
Titel:  
First Name: *  
Middle Initial:  
Surname: *   
Company/Organization: *  
  
Step 3: Provide Address Information

Address Type: *    
Address: *  
City: *  
State/Province:  
(Australia ONLY. Other nations, please add province to city field)
Postal Code: *  
Country: *  
Phone: *  
Fax: 
  
Step 4: Login Details
 
Username*
Your Email*
Password*
Retype Password*
 
  
Step 5: Provide Professional/Education Information
 
Your professional area  
Your job function  
Age  
Gender  
Highest degree obtained  
Your expertise  

(Please insert two keywords)
 
Step 6: Verification
Image Verification
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