NACM Membership

The National Aboriginal Council of Midwives (NACM) is made up of a diverse group of midwives from all regions of Canada, representing First Nations, Inuit and Métis communities.

NACM Membership is voluntary and must be renewed annually. Information collected from this form is strictly for the purpose of establishing the NACM membership database, which is shared with the Canadian Association of Midwives. It will not be distributed in any way.

If you have any comments or suggestions about this form, or if you wish your information to be removed from our database, please email: nacm@indigenousmidwifery.ca.

NACM Membership

Membership *

NACM Paid work - $ 100.00

NACM Student - $ 25.00

NACM Aboriginal Midwife Working Under Exemption (ON) - $ 0.00

NACM Elders - $ 0.00

NACM Unable to Pay Fees at this Time - $ 0.00

NACM Student (Unable to Pay Fees) - $ 0.00

Please renew my membership automatically.

Total Amount

Email Address *

NACM Membership Information

First Name *

Last Name *

Primary Phone

Work Phone and Extension

Other Phone Number

Birth Date *

(for demographics)

Preferred Communication Method

Phone
Email
Postal Mail
SMS

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

First Name * *

Middle Name

Last Name * *

Street Address * *

City * *

Country * *

Province * *

Postal Code * *

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