Online Membership Applications

OAG respects your privacy. We strive to protect the confidentiality of any personal information you may give us. We would like you to know (a) the circumstances under which we collect information, (b) the kind of information we collect, and (c) how we may use this information. We have posted our Privacy Statement on the OAG website at <gastro.on.ca> for your reference. The OAG does not share your information with any other group/organization unless we are authorized by you to do so.

Fields marked with an asterisk (*) are required.

Please select your membership type *

* All Membership Fees include HST *




The OAG membership year runs from June 1 to May 31.

Personal Information

Title:
First name: *
Last name: *
Out of Hospital Clinic Affiliation:
Hospital Affiliation:
Practice Type:
Do you perform ERCP?
Gender
Date of birth
Date of graduation *
Proof of Program and Graduation Date
(Please upload a letter from your program director as proof of your course and graduation date)*

E-mail address

This section MUST be completed in order for the membership application to be processed. The OAG communicates with its membership via e-mail; in accordance with the Canada Anti-spam law, you must indicate whether you wish to receive electronic correspondence from us.

E-mail address *
Job Postings Correspondence * I wish to receive job posting notifications.
I DO NOT wish to receive job posting notifications.
All Other Electronic Correspondence * I AGREE to receive electronic correspondence.
I DO NOT wish to receive any electronic correspondence.

Business Address

Company:
Address Line 1 *
Address Line 2
City *
Province *
Postal Code *
Work Phone Number *
Fax Number

Home Address

Address Line 1
Address Line 2
City
Province
Postal Code
Home Phone Number

Committees

Annual Conference
Fee Schedule
Out of Hospital Endoscopy
Post DDW Course
Liver & IBD Symposium
Membership

Privacy Policy

Membership Directory Information

If you DO NOT wish to have your complete contact information as printed above in the OAG Membership Directory, please check the box below. This information is now available online to all OAG members. Your personal contact information listed will not be used for any other purpose other than to inform you of Association business.

I DO NOT wish to have my complete contact information as printed above in the OAG Membership Directory.

Conference Material/Scientific Sessions

Please check the box below if you DO NOT wish to have your contact information as provided above included in the On-Site Program or Mobile App at the OAG Annual Conference and other events. Full name, address, phone, fax and email will be printed in a roster format to be presented to all registered delegates and sponsors attending the OAG Annual Conference and other events. This information will not be used for any other purpose by the OAG.

I DO NOT wish to have my contact information included in the On-Site Program and/or Mobile App at the OAG Annual Conference and other events.

 


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