Join the Manitoba Association of Radiologists

Complete the form below. Your application is sent securely to the MAR Secretariat, who will follow up regarding approval and (for Full Members) dues.

Personal information

First name *

Last name *

Email *

Phone

Professional details

Sub-specialty *

Primary institution or practice

FRCPC year of certification

Mailing address

Street address *

City *

Province

Postal code *

Membership class

Full Member $600 / yr Practicing radiologist. Resident Member No fee Medical resident or clinical fellow in training. Inactive Member No fee Non-practicing radiologist on temporary or indefinite leave. Retired Member No fee Fully retired from clinical practice.

Honourary Membership is granted by invitation of the MAR Board and is not available for self-application.

Practice type (Full Members)

Academic Non-academic

University-affiliated vs. community practice.

Training program

Year of training

Declaration & consent

I certify that the information provided is true and accurate to the best of my knowledge. *

I consent to MAR collecting and using this information for membership administration, in accordance with PHIA and PIPEDA. *

I agree to abide by the Bylaws and Code of Conduct of the Manitoba Association of Radiologists. *

I authorize MAR to apply the annual dues amount for my selected membership class. *

Dues for Full Members are arranged with the MAR Secretariat after approval (e-transfer, cheque, or invoice). No payment is collected on this form.

Representing and supporting radiologists across Manitoba.

Site

Home
Membership
By-Laws
Join MAR

Contact

info@manitobarads.ca
Winnipeg, MB