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Sign Up for Full Individual Membership

Looking to join CTAC on your own? Become a Full Individual Member: 

*Gender

Female Male Transgendered Male Transgendered Female

(Please note that only people living with HIV/AIDS or “PHAs” and people coinfected with hepatitis C are eligible for full individual membership at CTAC. Non-PHAs are eligible for associate membership only*)

*I am applying as (please specify)

a person living with HIV/AIDS or HIV/Hepatitis C coinfection an HIV-negative or undisclosed person

In order to help better serve and represent the various populations that comprise CTAC's members, please select the population(s) you identify with. More than one selection is possible. This section is optional.

Aboriginal Current / Former Sex Trade Worker Young Person (under 30) Prisoner / Ex-prisoner HIV / Hepatitis C Coinfected Current / Former substance user Newcomer Bisexual Gay man / MSM Two-Spirited

In order to communicate with our membership, please provide the format in which you would prefer to receive CTAC’s publications and communications

Either mail or email Printed copies by mail only Electronically by email No printed mail!

Please note: All communication sent by postal mail will be in non-identified confidential packaging.

My preferred language of correspondence is

English French Either

CTAC Mandate: To secure and ensure access to therapies and treatments for people living with HIV/AIDS by working with the public, private and not-for-profit sectors. CTAC informs research and public policy, and promotes public awareness; provides mentoring and skills building in these areas to people living with HIV/AIDS; encourages and facilitates the exchange of related information to stakeholders; builds and works with coalitions to address broader health care issues impacting access to therapies and treatments.

Yes, I have read and agree to CTAC's mandate.

Anti-Spam Regulation: In accordance with the Canadian Federal Government’s Anti-Spam laws, we are required to ask your permission to be able to communicate with you on an ongoing basis via email. This would include sending you CTAC-produced materials, news updates and other membership-related information. By checking the box below you confirm that CTAC has permission to communicate with you via email.

*CTAC has my permission to communicate with me via email.

*A note on CTAC’s Full Individual Membership: As a Full Individual or Full Organizational Member of CTAC, you are eligible to vote at CTAC’s Annual General Meetings (one vote per member or per organization). Associate Members and Associate Organizational Members are not eligible to vote. Full Individual and Full Organizational Membership is subject to approval from the CTAC’s Executive Director.


*If we need to contact you to update your information on file (for example: your email is no longer valid) do you give us permission to reach you by telephone?

Yes No

If yes, please specify which number

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