Membership Registration

Registration and Membership in PCCN Ottawa is FREE and open to all those affected by Prostate Cancer, including spouses/partners and family members. Enter your details via the webform below or download the registration. Any and all information collected is used for the sole purposes of PCCN Ottawa; we do not share any member details with any other organization. PCCN Ottawa is a non-profit, CRA registered charitable organization (BN 89127 0944 RR0001) run entirely by volunteers. We gladly accept contributions to help cover our operating costs, including our website and telephone line, creating and distributing of literature, meeting hall rental and materials and equipment used in presentations and displays. Please consider supporting PCCN Ottawa by making a secure donation through our page at or by cheque (see address at bottom of page). Tax receipts will be issued for all contributions greater than $10.00. Membership is effective January to December each year. Please considering renewing your commitment

Note: If the webform below returns an error, please register via email by clicking here

Registration Form: 

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