Individual Information

Instruction

Please complete the following form to create an account. Once it's been submitted, an email will be sent with log-in instructions. If you are a returning user, please login.

* First Name

* Last Name

* Email

* Title

* Are you a Canadian citizen or a Permanent resident of Canada?

* Are you a member of SOCAN?

If Yes, what is your SOCAN Member Number?

* Phone

Phone Ext.

* Gender

* Communication Preference

* Address

* City

* Province

* Postal Code

* Country

Website

Social Media

Facebook

Twitter

YouTube

Instagram