Member Application form

Membership Form
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
What aspect of development of CCFPJC would you be willing to assist with
Time

Maximum file size: 67.11MB

Membership Fees

ACTIVE CHAPTER Members

FULL Registration Fee: $6,500.00

FULL Renewal Fee: $6,500.00

Discounts may apply based on membership category; please see below

 

ACTIVE DIRECT Members

Registration fee: FULL

Renewal fee: FULL

 

RETIRED and HONORARY Members (must apply directly to CCFP secretariat)

Registration fee: FREE

Renewal fee: FREE

 

ASSOCIATE MEMBERS (must apply directly to CCFP secretariat)

(Interns and Residents in FM program)

4 year limit

Registration fee: FULL

Renewal fee: 50% discount

STUDENT MEMBERS (must apply directly to CCFP secretariat)

(Medical Students)

No automatic renewal; will need to demonstrate student status by mail or email

Registration fee: Free

Renewal fee: Free

SUSTAINING MEMBERS (must apply directly to CCFP secretariat)

Health Professionals allied to Medicine

Registration fee: FULL

Renewal fee: 50% discount

Doctors (Specialists/Consultants) in disciplines other than Family medicine

Registration fee: FULL

Renewal fee: 25% discount

 

CORPORATE MEMBERS

Please contact us

PAYMENT OPTIONS:

CHEQUES    can be delivered to the Caribbean College of Family Physicians at 19a Windsor Avenue, MAJ House, Kingston 5  and should be made payable to the CARIBBEAN COLLEGE OF FAMILY PHYSICIANS OR CCFP

DIRECT BANK TRANSFER  – National Commercial Bank- MANOR PARK BRANCH or CONSTANT SPRING FINANCIAL CENTRE   

Account Name: CARIBBEAN COLLEGE OF FAMILY PHYSICIANS or CCFP –  Business Current/Chequing account # 331001678   

CREDIT CARD PAYMENTS –  Please visit the Caribbean College of Family Physicians at 19a Windsor Avenue, MAJ House, Kingston 5  or contact Linne Thompson Hyatt, Administrator, Caribbean College of Family Physicians
PAYPAL PAYMENTS US equivalent to J$6,500.00 –
 https://www.paypal.com/paypalme/ccfpjachapter

Please email confirmation of payment to:  Email  ccfpjachapter1988@gmail.com

To make arrangements to pay please call: Telephone:  876. 946-0954 or 876-517-6636