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Membership Dues Payment

Membership Dues Payment

To pay your Doctors Manitoba membership dues online, please refer to the instructions below.

Step 1: Fill out the form below. Be sure to indicate if your district has changed and agree to the Membership Agreement Terms and Conditions

Step 2: Submit form to proceed to Online Payment. On the payment form, ensure that the name and address information you include for payment matches the information associated with the credit card being used.

If you have any questions, contact Leanne Muir at Doctors Manitoba by phone at 204−985−5866 or by email at lmuir@doctorsmanitoba.ca.

Membership Payment Form

First Name *

Last Name *

Email *

Email address where you would like payment confirmation sent.

Invoice Number *

Membership Categories *

Full - $1,412.25

Partial - $708.75

Retired - $99.75

Out-of-Province - $52.50

I have read and agree to the Membership Agreement Terms and Conditions *

Total

Includes 5% GST (GST #107660466 RT0001)

Billing Address

Address Line 1 *

Address Line 2

City *

Province *

Postal Code *

Credit Card *

Canadian Medical Association (Optional)

By checking this box, I agree that my name and email will be shared with the Canadian Medical Association (“CMA”) and used by them in accordance with the CMA privacy policy here. I understand that CMA and/or its affiliated companies may contact me via email. I understand that Doctors Manitoba is not responsible for the use by the CMA of my name and email address. I understand that by checking this box, I am not signing up for CMA membership.

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Membership Dues Payment

Membership Payment Form