Application for Associate Member Registration

  1. Please contact the College office at (780) 429-2330; toll free at 1-800-260-2742; and or

  2. You will be provided with a temporary user name and password.

  3. Log in to the member's side using the temporary user name and password.

  4. Review your current profile.  To make changes and upload documents please use the "edit form" to change any information.

    It is your responsibility to read, review and ensure that all required documents are completed including any fees that are invoiced.

    The form will be received electronically and you will be advised when your application has been approved. 

  5. This is a legal document and as such you are required by law to provide truthful and complete responses to all requested information, both personal and business.

  6. Please provide the response N/A if not applicable.

  7. All numbered questions or items marked with an asterisk must be completed in order for you to continue to the next page.

  8. Please note the entry for any date is as follows:  Month/Day/Year

  9. If using a credit card for payment, please ensure that the name provided is the name as it appears on the credit card and the billing address of the card holder is required for the payment to be processed.

  10. Please review the College of Alberta Denturists Associate Member Policy. (PDF)

  11. Please refer to the College of Alberta Denturists Associate Member Fees Policy (PDF)