Renewal

Renew your membership with CCFPJC

To renew your membership with CCFPJC please complete the online form with the relevant details, then submit. Please register on the website for payment details and information.

Renewal Form

Name

First

Last

Phone

Active Member up to 75 years (Renewal J$6,500)

Active Member Semi Retired 76 years and over (Renewal J$3,500)

FULLY RETIRED and HONORARY Members (Renewal free)

ASSOCIATE MEMBERS (Interns, Residents, SHOs - Renewal 50% )

STUDENT MEMBERS (free)

SUSTAINING MEMBERS (Health Professionals allied to MedicineRegistration fee: FULLRenewal fee: 50% discount Doctors (Specialists/Consultants) in disciplines other than Family medicine Registration fee: FULL Renewal fee: 25% discount)

CORPORATE MEMBERS (please contact us)

FELLOW (contact us)

Work Address

City

State/Province

Zip/Postal

Country

Year Being Paid

Medical Council Number

ANNUAL SUBSCRIPTION:

SUBSCRIPTION DETAILS

ANNUAL SUBSCRIPTION - JAD6,500.00

Please Upload Your Receipt

Maximum file size: 67.11MB

Payment Agreement

I've made the payment

Once payment is completed, please accept the payment agreement to continue.