Become a Member

If you are interested in becoming a member of AMEIPH please fill out the following form.

Please pay the annual fee ($8), in person at our office, or contact us to make arrangements.

For more information, please contact the person in charge of the service by phone at 514 272 0680 or by email at [email protected].

All information provided to AMEIPH will remain strictly confidential and will be part of the statistics that help us better serve our members.

Form to become a member

All fields are required

  • Basic information

  • Contact information