Membership Application

    Name*

    Company*

    Address*

    City*

    Province*

    Postal Code*

    Phone*

    Email*

    Additional Details (optional)

    *required field

    GST Registration Number 137947928

    Make cheque payable to IPPSA and mail to:
    IPPSA
    600, 700 2nd Street SW
    Calgary, AB T2P 2W1