Registration - Canadian Inventors Association

Email Address *

First Name *

Last Name *

User Password *

Confirm Password *

Highest Degree *

Home Adress *

Company Name (if applicable)

Company Address (if applicable)

Phone Number *

How many patents (including pending) are under your name? *

Your patent number(s) or application number(s), please list all, seperate by ' ; ' * (max. 200 characters)

Your patent name(s), please list them all in the same order as above * (max. 200 characters)

Choose your membership type *

For member benefits, visit the members section of this website

Attach supportive files for application below (e.g. a copy of your patent(s), screenshot, pictures. etc.) *