International Council on Active Aging®

Online registration form

In US dollars only. For Canadian dollars, please telephone the ICAA office at 866-335-9777 (toll-free) or 604-734-4466 to charge a credit card, or download the membership application / ICAA Executive Leadership Summit application / ICAA Conference application and fax or mail. A one-page membership application is available.

* Asterisk indicates required fields.

*Type of form

Changing form types will reset the form and clear all information entered.

*Contact first name

*Contact last name

Title

Organization/Agency name

*Address

*City

*Country

*State/Province

Please select correct state

*Zip/Postal Code

If not applicable, please enter N/A.

*Phone number

*Cellphone number

*E-mail address

Member number

If not applicable, please enter N/A.

Continue ►

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.

* Asterisk indicates required fields.

*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?

Yes No

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.

◄ Continue ►

Conference registration

Includes educational seminars, general sessions, handouts, entry to the virtual expo, as well as a 4 DAY FULL ACCESS PASS to ICAA Virtual Conference, Leadership Summit and Expo, November 9 & 10, 16 & 17, 2021. (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.

ICAA member rates	On or before Aug 5	After Aug 5
1st registration	$249	$349
2nd and 3rd registration	$199	$299
4th and more registration	$109	$209

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 Aug 5	After Aug 5
1st registration	$319	$419
2nd and 3rd registration	$269	$369
4th and more registration	$159	$259

$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

◄ Continue ►

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

Our exhibitor listing will be available soon.

Payment information

Total: USD$ 0.00

icaa 100 members