UPAABC MEMBERSHIP FORM

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Thank you for your interest in joining UPAABC. Please fill up this form to process your membership.

We will get in touch with you as soon as we can.

To expedite your membership, you may send your annual membership fee to upaabc1979@gmail.com:

$30 for students (for 1 year)

$50 for 1 year (regular membership)

$200 for 5 years (regular membership)

Email *

First Name *

Last Name *

Maiden Name

If applicable

Preferred Nickname *

(Optional) Include your preferred pronouns, if applicable

Birthday *

YYYY

Year arrived in BC *

Street Address *

City *

Postal Code *

Mobile Number *

Please use the format: ###-###-####. Exclude the +1, symbols, and spaces

How did you learn about UPAABC? *

Invited by / Social media / News / Word of mouth / Online search / etc.

Facebook Profile Name or Link *

So we can make sure we're adding the right person to the group! Type N/A if you do not have an account

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