Individual Membership

Email Address *

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Username
Usernames must be lowercase and may contain periods, hyphens and underscores.

Password *

Confirm Password *

Provide a password for the new account in both fields.

Individual Details

First Name *

Last Name *

Job Title

Library or Organization

Specific Branch or Department Name

Street Address *

Street Address 2

City *

Province *

Country *

Postal Code *

For BC members, please indicate the region of the province you are from

BC Region

You can use the map below as reference

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Membership Options

Disable Renewal Reminders

Yes No

Participate in Perkopolis discount program *

Yes No