AIHA - MANITOBA NEW MEMBER APPLIC​ATION AND MEMBER UPDATE FORM

Membership runs from February 1 to January 31

Please fill out this form and return it to the Membership Committee, along with your $40 membership fee. The following information is required to maintain the Section's mailing list, used for distribution of meeting notices, minutes, course announcements and similar materials. A Membership Directory is provided to promote communication and participation among members. Please advise the Membership Committee of any change to your address, telephone number or e-mail address.

Please print this page, fill out the form and return it along with your $40 membership fee to the: Make cheques payable to: AIHA- Manitoba Section

AIHA – Manitoba

c/o Angela Barr​att
Workplace Safety and Health Branch
Labour & Regulatory Services
Manitoba Department of Growth, Enterprise and Trade
200-401 York Avenue
Winnipeg, MB R3C 0P8

Or to pay by credit card, call Alison at 204-998-5710. The following information is required to maintain the Section's mailing list, used for distribution of meeting notices, minutes, course announcements and similar materials. Please advise the Membership Committee of any change to your address, telephone number or e-mail address.

Name:__________________________________________________________________________

Employer: ______________________________________________________________________

Position: ________________________________________________________________________

Mailing Address: __________________________________________________________

Home Phone: ____________________________________________________________________

Work Phone: ____________________________________________________________________

E-mail: _________________________________________________________________________

​​For more information​ about AIHA National please click on the following link:www.aiha.org