Membership Form Test Page

Membership Type:
Choose your Rate Type*
- Basic - $0
- General - $50
- Student - $35
- RCAF Member - $0
Are you an active member of the RCAF*
- Yes
- No
WARNING: Must be an active RCAF member for this rate type!
Please select a new rate type.
RCAF Service Number*
What is your Rank?*
What is your Unit:*
What is your Trade:*
Are you a student?*
- Yes
- No
WARNING: Must be a current student for this rate type!
Please select a new rate type.
Student ID # and School name*
Account Information:
Username*
Password*
Enter Password Confirm Password
Name*
First Last
Email*
Address*
Street Address City Province Postal Code
Optional Demographic Information
This information can helps us to better tailor our content for our members.
Gender Identity
Indigenous Status
Payment
Do you have a coupon code?

Please enter your coupon code now.
General Membership
Price:
Discount: RCAF
Price:
Discount: Student
Price:
Total
$ 0.00 CAD
Credit Card
Card Details
Cardholder Name

Membership Type: