International Council on Active Aging®

Online registration form

All membership purchases are in US dollars. For Canadian memberships, please phone the ICAA office at 866-335-9777 (toll-free) or 604-734-4466. All conference and leadership summit purchases are in US dollars, or download the membership application / ICAA Executive Leadership Summit application / ICAA Conference application and fax or mail. A one-page membership application is available.

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*Contact first name

*Contact last name

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*Address

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*Zip/Postal Code If not applicable, please enter N/A.

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Membership options

First-time members only:

Receive 10% off your individual membership or organizational membership (14 locations or less) when you become an ICAA member and register for the ICAA Conference or ICAA Executive Leadership at the same time. (To receive savings, select the mentioned category's from pull down menu above) This offer is available to first-time members only, and cannot be combined with any other offers.

Special offer:
Take 10% off an Individual or Organizational membership when you join ICAA and register for the ICAA Virtual Conference, Leadership Summit and Expo. Available to first-time members only, this offer cannot be combined with any others.

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*Membership type

New Renewal

Organizational membership - number of locations

0.00

includes 5 staff per location

1-4 locations:	$699 each location
5-13 locations:	$435 each location
ICAA 100 (14+ locations):	$5750 flat fee

Individual: $239 each - number of individuals

0.00

In the fees you pay to ICAA, $125 per person is the annual price for 7 issues of the Journal on Active Aging and a complimentary copy of the ICAA Products and Services Buyer's Guide.

Subtotal: USD$0.00

Member referralDid a colleague refer you to ICAA? Please write name and e-mail address.

Member profileHow did you hear about the ICAA?

*Which of the following best describes your affiliation?

*Will you be expanding, renovating or moving into your community/center over the next 12 months?

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I acknowledge by submitting this membership application that I am requesting the ICAA to charge my credit card or cash my check for the amount shown on this form.

The ICAA member pledgeAs a member of International Council on Active Aging, I am committed to the philosophy of providing age-friendly services by:

Providing a trustworthy, safe and caring environment for our clients;
Portraying a positive vision of aging;
Providing programs, activities and staff members to enrich the active-aging lifestyle in the physical, environmental, intellectual, social, emotional, vocational and spiritual dimensions;
Educating staff members, older clients and their families, and the medical community about healthy aging;
Following all relevant industry standards and guidelines for serving the health and wellness needs of our older clients; and
Welcoming people of all ethnicities, creeds and nationalities.

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Conference registration

Includes educational seminars, general sessions, handouts, entry to the virtual expo, as well as a 3 DAY FULL ACCESS PASS to ICAA Conference, Leadership Summit and Expo, November 8-10, 2022. (Does not include CEUs.)

Registration fees in US dollars. To receive group discount, all delegates from the same organization must register at the same time and pay with one check or credit card.

Sign up for the CEU program for $45 before October 28, after and on-site $55, which covers costs charged by certifying agencies.

ICAA member rates	On or before Jul 8	On or before Aug 31	After Aug 31
1st registration	$349	$469	$569
2nd and 3rd registration	$299	$419	$509
4th and more registration	$209	$219	$329

Note: If adding an additional delegate to a group that is already registered please call the ICAA at 866-335-9777 or 604-734-4466.

0.00

ICAA non member rates	On or before Jul 8	On or before Aug 31	After Aug 31
1st registration	$419	$499	$589
2nd and 3rd registration	$369	$449	$529
4th and more registration	$249	$259	$359

$0.00

Subtotal: USD0.00 *Select your organization type: (REQUIRED)

*Select your role in purchasing or leasing decisions. (REQUIRED)

Final decision

Specify brands

Recommend

No role

COVID Agreement (REQUIRED)

I affirm that I have read, and I agree to follow, all policies and protocols listed above as well as outlined in the ICAA COVID-19 Policy and COVID-19 Health and Safety Protocols for the ICAA Conference, Leadership Summit and Expo 2022. I also understand and accept these may change.

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Payment information

Check (payable to ICAA Services Inc.)

Immediately after submitting the application, mail your check to ICAA,
#603-1112 W. Pender Street, Vancouver, BC V6E 2S1.

The membership or conference registration will not be processed until the payment is received.

Total: USD$ 0.00

I acknowledge by submitting this application that I am requesting the ICAA to charge my credit card or cash my check for the amount shown on this form.

registration

Online registration form

Membership options

Subtotal: USD$0.00

Conference registration

Check the box of companies you want to schedule a meeting with at the ICAA Expo

Payment information

Total: USD$ 0.00

icaa 100 members