Membership Form - Cheque or EFT Payments

ACCA Membership Form - Cheque or EFT Payments

Please complete this form should you be making your membership payment by cheque or EFT. 

  • For payments by Electronic funds transfer (EFT), please contact ACCA directly for details.
  • For payments by cheque, please make cheques payable to Alberta Continuing Care Association, 8861 75th Street NW, Edmonton, Alberta T6C 4G8
  • To pay by credit card, please complete the ACCA Membership Form - Online Payments

 

Membership Information

Main Contact Information

Manages ACCA membership on behalf of your organization, updating contact information and
receiving any official ACCA correspondence.

Please add contact details for any additional contacts below, including name and email (i.e., other individuals in your organization that may want to receive ACCA communications and updates, or ACCA newsletters):