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Your password must contain at least eight (8) characters; including letters, numbers, and special characters.

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First name *

Last name *

Primary Language *

Organization Name *

Mailing Address

Address *

City *

Postal Code

Province/State *

Country *

Phone

Website

Logo

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Social Media Handles

	Social Media Name *	Handle or URL *
1

Organization Representative

Name *

Position with Organization *

Email *

Phone

Please include the names and email of all other people you wish to include for communications for CHC|CPC. (Ex. John Doe: [email protected])

	Name *	Email *
1

What is the focus of your organization (e.g. archaeology, museum, etc.)? *

What are your organization’s main activities?

How many employees does your organization have?

How many volunteers does your organization have? (including Board Members)

Does your organization also have members?

How many members? *

Comments and Feedback

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I would like my membership to auto renew