Membership form

Join the only multisectoral health forum that promotes plural delivery of services, as part of our publicly funded health system.

 

    Please complete the form below to confirm your CEPSEM membership from February 1st, 2024 to January 31st, 2025


    INFORMATION

    * Mandatory

    AUTOCONTRIBUTION (or based on your organisation's revenue)

    * Bronze membership: 1 person per company (any additional attendant pays the non-member fee)
    NON-MEMBER : Maximum 2 events per year per company, fee may vary upon event


    CONTRIBUTION FOR FEBRUARY 1st 2024 TO JANUARY 31st 2025


    MEMBERSHIP TYPE*:


    ENTER YOUR CONTRIBUTION*

    + TPS 5%
    + TVQ 9.9975%

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    $CDN

    Invoice payable upon receipt. Your invoice will be emailed to you.



    Please indicate if you do not want your company name to appear on the CEPSEM members section on our microsite.