PRACTICING ASSOCIATE MEMBERSHIP YEAR RUNS APRIL 1, 2010 TO MARCH 30, 2011

For additional information please contact:
Stephen Laramee
c/o RTSO
4505 Paddock Trail Drive
Niagara Falls, Ontario
L2H 3E6

MEMBERSHIP APPLICATION

From time to time, the RTSO sells its mailing list to advertisers of respiratory therapy services or products, or potential employers. This list is not released to the advertiser the advertiser’s information is mailed via the RTSO Office. Please indicate whether or not you want to receive this information.

From time to time, the RTSO distributes information via email.
Please select which interest group(s) you would like to belong to.

* In choosing to apply for the Errors & Omissions Liability Insurance**, the undersigned respiratory therapist declares that he or she has never been the recipient of a claim which could be   covered under the present policy; or is not aware of any circumstances which could lead to a claim under the present policy.
INSURANCE MUST BE PAID BY MARCH 31, 2010

First Year Graduates

First Year Graduates are Free unless requesting Errors & Omissions Liability Insurance coverage. In this case, the Graduate must register as a Practicing Member and complete the appropriate membership form.

5% GST Included - GST Registration #107889339
Make cheques payable to: Respiratory Therapy Society of Ontario Send to: Respiratory Therapy Society of Ontario, P.O. Box 30007, RPO Montrose,
Niagara Falls, ON L2H 0C1
 
If paying by VISA/Mastercard, please provide the following information:

If paying by VISA/MasterCard, please provide the following information:

RENEWING 2009/2010 MEMBERSHIPS
  1. Members that paid their 2009/2010 membership fees (not including insurance) of $105 directly to the RSTO will be reimbursed a pro-rated figure of $25 + GST to reflect the change in the membership calender year. Refund will not be processed until after payment in full is received for 2010/2011 Membership.
  2. Members that paid RTSO direct for covering membership and liability insurance ($105 + $75.60) must renew in June 2010 using a special form that will be remitted to the members’ address on record (please advise the RTSO office of any change ASAP). DO NOT APPLY ON LINE.

**Errors & Omissions Liability Insurance coverage:
$2M/incident / $4M aggregate; Nil Deductible

 
Criminal Defence Reimbursement: $100,000/incident / $100,000 Aggregate;

 
Disciplinary Defense: $10,000/insured / $250,000 Policy Aggregate