Annual Membership Declaration Form Please enable JavaScript in your browser to complete this form. As we approach the end of the year, it is time for our chapters across the Caribbean to declare their annual membership to the College. We understand the crucial role that each chapter plays in advancing the field of family medicine in the region, and we greatly appreciate your ongoing commitment and dedication. Your chapter's participation is essential in fostering collaboration, sharing knowledge, and enhancing the overall impact of the Caribbean College of Family Physicians. To complete the annual membership declaration process, we kindly request that you provide the information as stated on the form for your chapter: Please submit the information by January 31st, as this will enable us to compile a comprehensive report on the collective achievements and contributions of all our chapters in the Caribbean. Your cooperation is invaluable in strengthening the network of family physicians in the region and advancing the goals of the Caribbean College of Family Physicians. If you have any questions or require assistance during this process, feel free to reach out to us at familydoctorsregional@gmail.com We appreciate your commitment to the Caribbean College of Family Physicians (CCFP) and kindly request you to complete the Annual Membership Declaration Form for your regional chapterChapter Name: *Chapter Address: *Chapter Email: *Chapter President's Name: *President's Email: * Chapter Secretary's Name: *Secretary's Email: *Total Membership Count: *Total Paid-Up Members: *Annual Renewal Dues per member: *New Dues (amount) per member: *New Members (Number): *Upload Membership Register: * Click or drag a file to this area to upload. Please upload the membership register document containing the following details for each member: Full Name, Email, Specialty, Telephone Contact.Upload Chapter Executives: * Click or drag a file to this area to upload. President, Vice President, Secretary, Treasurer, and other relevant positions. Please upload a document containing their full names and positions.Please upload Chapter Activities Report * Click or drag a file to this area to upload. • A brief summary of the activities and events organized by your chapter throughout the year. Please upload Financial Statement: (Optional) • An overview of your chapter's financial status, including income and expenses related to College activities.(Optional) Feedback and Suggestions: • Any feedback or suggestions that your chapter may have regarding the College's initiatives, programs, or areas for improvement. Thank you for your continued support, and for your submission. We will forward your Cess Invoice as soon as we receive your declaration. Please be reminded that CESS is charged on members in good standing for the period the declaration is submitted. Submit