This form is only for current members. If you want to become an AAATCMD member please use the links below.AAATCMD Member Application AAATCMD Student Member Application "*" indicates required fields Personal InformationName* First Last Email* Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code AAATCMD Registration NumberOptional for Students or Inactive Members CAA Registration NumberOptional for Students or Inactive Members Select a Membership Option* Regular full membership renewal fee - $100 BY December 31, 2022 Regular full membership renewal fee - $150 AFTER December 31, 2022 Student membership renewal fee - $50 BY December 31, 2022 Please send your Interac E-Transfer for to membership@aaatcmd.ca after submitting this form. Your membership will not be processed if this form is not submitted with your payment. Please include your legal name that is registered with us in the message box when you make the e-transfer payment.Signature*Declaration* I understand that I need to have a regular full membership of AAATCMD in order to be qualified to purchase Professional Liability Insurance from Hub International.NameThis field is for validation purposes and should be left unchanged.