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Member Name: Circle: SLP or Audiologist (as it appears on Practice Permit/General Register) Address: Phone #: Email: Registration #: Effective Date of Status Change: Current Status: Please select
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How to fill out member name - Alberta:

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Start by locating the designated field for member name on the form or application.
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In the member name section, enter the full legal name of the individual who is a member of the organization, company, or group.
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Make sure to accurately spell the first name, middle name/initial (if applicable), and last name.
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If the member is from the province of Alberta, specifically indicate the location by including "Alberta" after the last name (e.g., John Doe, Alberta).

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Member name - alberta refers to the name of a specific member or individual within a group or organization.
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