Become a CATIE Member: Individuals CATIE membership is open to Canadian individuals and organizations working in the response to HIV or hepatitis C. Membership is free and is perpetual unless cancelled by the member. First Name Last Name Month of Birth - Select -JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day of birth - Select -12345678910111213141516171819202122232425262728293031 This information is used only to distinguish between multiple members with the same name and to prevent duplicate membership records. Preferred Language of Correspondence - Select -EnglishFrench Indigenous Membership Please check here if you identify as Indigenous to qualify to vote for the Indigenous Director on the CATIE Board of Directors Organization Affiliation (if applicable) To protect your privacy, DO NOT enter an organization name if you are using your home address. Mailing labels will be printed with all the address information you enter below. Address Street address Street address line 2 City Province - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code E-Mail By entering your e-mail address, you consent to receiving member communications. Alternate E-mail Phone Alternate Phone By submitting this membership application, I confirm that I support CATIE's knowledge exchange work and wish to become a CATIE member. Confidentiality Our membership lists are completely confidential. They are not provided, traded, rented or sold to any other organization. We use an external distribution house for all printed materials. Only names and addresses are provided to the distribution house and lists are destroyed after each mailing.