2026 NPAM Membership Registration Form

2026 Nurse Practitioner Association of Manitoba (NPAM) Membership

Please complete the form below. The information collected helps us provide required data to stakeholders. Your personal information will not be shared in any way that identifies you without your permission, except with NPAM’s trusted member partners when necessary to deliver specific member benefits.
Payment Options:

If you would like to pay via eTransfer, please use coupon code: TRANSFER below and do not fill in credit card information. Payments must be received within 24 hours to npam@nursepractitioner.ca or membership will not be valid.

Please choose your membership type: *

2026 Regular Membership

Open to any registered Nurse Practitioner

$120.00CAD

2026 Regular Membership +Telus

Open to any registered Nurse Practitioner. Telus Virtual Health Care included

$156.00CAD

2026 Student Membership

Open to any students currently enrolled in Nurse Practitioner studies

$90.00CAD

2026 Student Membership +Telus

Open to any students currently enrolled in Nurse Practitioner studies. Telus Virtual Health Care included

$126.00CAD

2026 Associate Membership

Open to individuals not currently licensed as a Nurse Practitioner, who have a committment to advancing the NP role

$120.00CAD

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Total

$0.00CAD

Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
E-mail:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Regional Health AuthorityPrivate PracticeIndependent ContractVirtual CareSelf-employedFederal GovernmentOther
Interlake Eastern Regional Health AuthoritySouthern Health - Santé SudNorthern Regional HealthShared HealthPrairie Mountain HealthWinnipeg Regional Health Authority
First Nations and Inuit Health BranchFirst Nations Led HealthCanadian ForcesCorrectional Health ServicesOther
Please provide the name of your employer
Primary CareRemote CommunitiesPediatrics/neonatalMental HealthHospital CareAestheticsLocum coverage/travelEducationLeadership RoleUrgent/Emergency CareLong Term Care/Older AdultsMaternityAddictionsOutpatient CarePrivate PracticeVirtual CareResearchRAAM ClinicMAIDCancerCareOther (please specify below)
Specify details
How many years have you been practicing as an NP?*
How many years did you practice as an RN before becoming an NP?*
RuralUrbanNorthern
YesNo
Please state all other jurisdictions you are registered in
YesNo
Conference CommitteeNP DayMembership & Member Benefits
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2026 Nurse Practitioner Association of Manitoba (NPAM) Membership