Application Form Invoice IDMember IDSELECT A MEMBERSHIP TYPEGeneralAssociateStudentRetiredForeignHonoraryInstructorPreferred languageEnglishFrenchName* First Last Password*Password must contain at least 7 characters. Enter Password Confirm Password Company NameAddress* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*ChapterEmail* Enter Email Confirm Email Website Instagram URLPlease insert the full address, including https://LinkedIn URLPlease insert the full address, including https://Facebook URLPlease insert the full address, including https://Student School*Student ID*Graduation Date* Date Format: DD slash MM slash YYYY Student Card UploadThe following file format are accepted: pdf, jpg, pngAccepted file types: pdf, jpg, png, gif, doc, txt.ProfessionPhotographerIllustratorProfile ImageCan be submitted later while completing your profile after activation. Accepted file types: jpeg, jpg, png, gif.Conditions I am an active professional photographer or illustrator with at least two (2) years of professional experience. Self-employed applicants must attach blank samples of their business forms, (e.g., Quote, Invoice, Terms & Conditions, and Other Contracts). Employed applicants are required to list employer's name and place of business. I should provide a Web address in order to access my portfolio I will complete a Member Survey form upon acceptance. I am of good moral character and agree to abide to the principles and ethics of CAPIC. Conditions I am currently in or am actively pursuing a full-time career in photography or illustration. Employed applicants are required to list employer’s name and place of business. I have graduated from a CAPIC-approved post-secondary Photography or Illustration program within the past 2 years. Self-employed applicants must attach blank samples of their business forms, (e.g., Quote, Invoice, Terms & Conditions, and Other Contracts). Employed applicants are required to list employer's name and place of business. I should provide a Web address in order to access my portfolio I am of good moral character and agree to abide to the principles and ethics of CAPIC. Conditions I am currently in or am actively pursuing a full-time career in photography or illustration. I am of good moral character and agree to abide to the principles and ethics of CAPIC. Conditions I should provide a Web address in order to access my portfolio I have at least two (2) years of experience in the occupation described above. I am of good moral character and agree to abide to the principles and ethics of CAPIC. Upload required documentsAccepted file types: pdf, jpg, png, gif, doc, txt.The following file format are accepted: pdf, jpg, png, gif, doc, txtAgreement - General membership I hereby apply for General Membership in CAPIC and attest that all of the above and attached information is true. I agree that any misstatement or misrepresentation will void this application. Agreement - Assistant membership I hereby apply for Assistant Membership in CAPIC and attest that all of the above and attached information is true. I agree that any misstatement or misrepresentation will void this application. Agreement - Associate membership* I hereby apply for Associate Membership in CAPIC and attest that all of the above and attached information is true. I agree that any misstatement or misrepresentation will void this application. Do you consent to receive email communications from us regarding membership, association/industry news, PD Opportunities and partnering organizations?YesNoMembership fee Price: $ 0.00 CAD + applicable taxesGST 5% Price: $ 0.00 CAD HST 15% Price: $ 0.00 CAD HST 13% Price: $ 0.00 CAD Total $ 0.00 CAD Post invoice title Post invoice member namePost invoice languagePost member emailPost membership feePost taxesPost membership levelPhoneThis field is for validation purposes and should be left unchanged.