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CAPLA Online Membership Application Form
 
If you're not a student attending a post secondary institution then you should apply for an Active CAPLA membership.

The Active CAPLA Association Membership application form is located below.
Please complete the following online application:
 
PERSONAL INFORMATION

First Name
Last Name
Suite/Unit/Apt No.
Mailing Address
City
Province/State
Postal/Zip Code
Cell/Mobile Tel. No.
Home Phone Tel. No.

Your Personal/Home Email Address:
Confirm Your Personal/Home Email:

CAPLA MEMBERSHIP

Have you previously been a CAPLA member?

Have you previously attended any CAPLA courses or events?

CURRENT POSITION

What is your current position and/or title?

Do you work in the capacity of management, supervisor or team lead?

RESPONSIBILITIES

Please indicate your primary responsibility at your current position

If applicable, please indicate your secondary responsibilty at your present position

EMPLOYER

What is your employment status?

Your current employer

Business Tel. No.

Business Email

Confirm Business Email Address

Business Mailing Address
City
Province/State
Postal/Zip Code

How long have you been employed with your current employer?

Notes/Additional Information

LAND BACKGROUND & EXPERIENCE

What year did you begin working in land?

Please indicate your highest level of education?

Which post secondary institution did you attend?

Degree/Certificate/Diploma Description

What is your general land background?
CERTIFICATIONS

Do you have your CAPLA Certified Petroleum Land Contracts Designation?

Do you have your CAPLA Certified Petroleum Minerals Administrator Designation?

Do you have your CAPLA Certified Petroleum Surface Administrator Designation?

PREFERENCES - Active Membership

Which email address do you wish to have your invoice ($183.75) & CAPLA login information sent to:

Do you wish to be published in the CAPLA's member roster?

CAPLA Roster: Choose the discipline that best describes your major area of responsibility at your current company. If you are an independent, choose the category that best describes the major contract service that you provide.

Notes/Additional Information

TERMS & CONDITIONS / PRIVACY POLICY

 I have read and I accept CAPLA's Terms & Conditions. (Located at bottom of screen.)

 I have read and I accept CAPLA's Privacy Policy. (Located at bottom of screen.)