Online Membership Applications

Please select your membership type

Active Membership:

Active (One Year Membership Fee: $160)
Joint CNS/ASN Active (One Year Membership Fee: $310)
Joint CNS/ASPEN Active (One Year Membership Fee: $320)
Joint CNS/ESPEN Active (One Year Membership Fee: $340)
Joint CNS/ASN/ASPEN Active (One Year Membership Fee: $460)
Joint CNS/ASN/ESPEN Active (One Year Membership Fee: $490)
Joint CNS/ASN/ESPEN/ASPEN Active (One Year Membership Fee: $650)

Physician Membership:

Joint CNS/ASPEN Physician (One Year Membership Fee: $365)

Young Professional Membership:

Young Professional (One Year Membership Fee: $90)
Joint CNS/ASN Young Professional (One Year Membership Fee: $150)
Joint CNS/ASPEN Young Professional (One Year Membership Fee: $180)
Joint CNS/ASN/ASPEN Young Professional (One Year Membership Fee: $270)

Student Membership:

Student (Undergraduate) (One Year Membership Fee: $24)
Student (Graduate) (One Year Membership Fee: $48)
Joint CNS/ASN Student (One Year Membership Fee: $90)
Joint CNS/ASPEN Student (One Year Membership Fee: $96)
Joint CNS/ASN/ASPEN Student (One Year Membership Fee: $144)

Associate Membership:

Associate (One Year Membership Fee: $160)

Membership fees listed above do not include taxes.

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

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First name: *

Middle name:

Last name: *

Degrees: *

Please specify other degree: *

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Job Title: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Department/Division (if applicable)

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Province: *

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Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Consent to receive electronic messages from the Canadian Nutrition Society
The Canadian Nutrition Society (CNS) communicates with its membership via e-mail. In accordance with the new Canada Anti-Spam Legislation you must indicate whether you wish to receive electronic correspondence from us. If you DO NOT agree you will not receive any other correspondence (e.g. renewal notices, notices of annual and thematic conferences, workshops, calls for experts, sound bites, etc.)

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Payment Information

Subtotal:	$160.00
Tax (HST + GST):	$20.80
Total:	$180.80
Name on Card:
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*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

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Last name: *

Degrees: *

Please specify other degree: *

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Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Department/Division (if applicable)

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$340.00
Tax (HST + GST):	$44.20
Total:	$384.20
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Degrees: *

Please specify other degree: *

Company Name: *

Job Title: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply:

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Department/Division (if applicable)

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$490.00
Tax (HST + GST):	$63.70
Total:	$553.70
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Degrees: *

Please specify other degree: *

Company Name: *

Job Title: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Department/Division (if applicable)

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$160.00
Tax (HST + GST):	$20.80
Total:	$180.80
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Academic Institution : *

Department/Division (if applicable)

Job Title: *

Degrees: *

Please specify other degree: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$90.00
Tax (HST + GST):	$11.70
Total:	$101.70
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Academic Institution : *

Department/Division (if applicable)

Job Title: *

Degrees:

Please specify other degree: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$48.00
Tax (HST + GST):	$6.24
Total:	$54.24
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Academic Institution : *

Department/Division (if applicable)

Job Title: *

Degrees:

Please specify other degree: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$24.00
Tax (HST + GST):	$3.12
Total:	$27.12
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Degrees: *

Please specify other degree: *

Company Name: *

Job Title: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Department/Division (if applicable)

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$310.00
Tax (HST + GST):	$40.30
Total:	$350.30
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Academic Institution : *

Department/Division (if applicable)

Job Title: *

Degrees:

Please specify other degree: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$90.00
Tax (HST + GST):	$11.70
Total:	$101.70
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Academic Institution : *

Department/Division (if applicable)

Job Title: *

Degrees: *

Please specify other degree: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$150.00
Tax (HST + GST):	$19.50
Total:	$169.50
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Degrees: *

Please specify other degree: *

Company Name: *

Job Title: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

None	Clinical/Healthcare
Industry	Government
Non-Government Organization/Association	Research/Academic
Retired	Trainee
Other

Please specify other profession:

Department/Division (if applicable)

Address Line 1: *

Address Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address: *

Canadian Non-Canadian

Email: *

Primary Phone: *

Nutritional Areas of Focus: *

(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

I agree to receive electronic correspondence
I DO NOT wish to receive any electronic correspondence

Payment Information

Subtotal:	$320.00
Tax (HST + GST):	$41.60
Total:	$361.60
Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): *	/

*Required Field (CNS Membership year runs January 1 to December 31.)

Applicant Contact Information

Preferred Salutation: *

Please specify other salutation: *

First name: *

Middle name:

Last name: *

Degrees: *

Please specify other degree: *

Company Name: *

Job Title: *

Certifications – Choose all that apply: *

None	CDE	CEP
CMN	CSSD	Dt.P
FACS	FRCP(C)	FRCSE
FRCS(c)	NCCP	P.H.Ec.
RD	RMT	RN
RPh	Other

Please specify other certification:

Profession – Select all that apply: *

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Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
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Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
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Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
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None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
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None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

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(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

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None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

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(Choose up to three)

None	Administration/Management	Aging
Bioactives	Body image	Cancer
Carbohydrates and fibre	Cardiovascular health	Cell biology
Diabetes	Dietary assessment	Diet pattern modeling
Education	Endocrinology	Energy
Exercise physiology	Family studies	Fetal programming
Food policy	Food regulations	Food science and technology
Food security	Gastrointestinal health	Genetics
Global nutrition/health	Indigenous populations’ nutrition	Infant/maternal nutrition
Inflammation and immunology	Knowledge translation / education	Lipids and fatty acids
Liver disease	Malnutrition	Metabolic Syndrome
Microbiome	Minerals	Natural health products
Neurodegenerative diseases	Nutrient requirements	Nutrition/Food literacy
Obesity	Osteoporosis	Parenteral/enteral nutrition
Pediatrics	Personalized nutrition	Protein and amino acids
Psycho-social and behavioural research	Public Health	Renal disease
Satiety	Trace elements	Vitamins
Water

Journal Subscriptions

CNS members receive online access to the journal: Applied Physiology, Nutrition and Metabolism (APNM)

Electronic Correspondence: *

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