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.

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
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Phone Number
Format: (000) 000-0000.
E-mail:
Address

Street Address

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Please check off your employment setting. Select all that apply
Which region(s) are you currently employed by:
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Please provide the name of your employer
What are your NP role(s)? Please check all that apply
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How many years have you been practicing as an NP?
How many years did you practice as an RN before becoming an NP?
What is your NP work setting
Do you work as an NP in any other jurisdictions?
Please state all other jurisdictions you are registered in
Are you a member of MNU?
Would you be willing to volunteer for one of the following committees? (Please select any you may be interested in)
Feel free to provide any other comments
I consent to NPAM contacting me by email, mail, or other methods to share updates, information, and requests related to NPAM’s work. My information may be shared with NPAM’s trusted partners solely for the purpose of providing member benefits (e.g., NP Current, MUMS Guidelines). NPAM does not sell or distribute my contact information to any outside agencies.
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2026 Nurse Practitioner Association of Manitoba (NPAM) Membership