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Member Information
Please answer the following questions and click the 'next' button.

For your convenience, when you decide to purchase a plan, this information will be automatically included in your application form.
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*Select Your Province:
*Select a Plan: CPA Select Catastrophic Health Plan
*Date of Birth: Calendar
*Gender: Male Female
*Email Address:
*Will you be adding
your spouse?
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*Would you like to add any dependants? Yes No
 
 
CPA Select Insurance Plans are sponsored by the Chartered Professional Accountants of Ontario
and underwritten by The Manufacturers Life Insurance Company (Manulife).
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