Details About Members

Tell us a little about the new members and how we can reach them.

Note: If your mailing address uses a P.O. Box or a community, group, or rural mailbox and does NOT currently include a street number and street name, please call us at 1-800-222-4357 in order to complete your membership purchase.

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Membership

Primary Member

Edit

All fields are required unless marked optional.

First Name

Last Name

Gender

Date of Birth

Username

Password

Confirm Password

Security Question

Security Answer

Postal Code

Suite, Unit, P.O. Box

Street Number

Street Name

City

Province

Manitoba

Phone Number

Email Address

Yes, I would like to receive promotional emails from CAA Manitoba.