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Organization Application Form

Based on the answers you provided, your organization falls into the General Member category and your annual membership fee is $150. If the fee is a barrier please contact Allyson Theodorou, Operations Manager at 1-866-681-6661 ext. 2.

Section A - General Information (the information provided here will be posted on the OPDI website on the member section)

Do you have satellite offices?

Section B - Organizations Details

In what category would you place your organization?

Section C - Main Contact Person’s Information

List up to 3 other people who you would like to receive our emails, this may include other leaders in your organization and/or satellite offices:

I, on behalf of the above named organization, apply for membership to the Ontario Peer Development Initiative and indicate our support for its mission, vision and values.

Select Payment Method:*