2025 AGM Membership Application
Please fill in the following information as part of your membership application

Members must adhere to the values and mission of IA SENB
- to raise awareness, educate, inform our families, professionals and the general public
- to influence policies and practices
- to protect the rights, promote the interests, enhance the quality of life of and ensure Better Futures for individuals with an intellectual disability, and their families.

The organization reserves the right to decline a membership application if it believes the applicant does not share IA's values and mission.
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Email *
Name *
Address *
City *
Postal Code *
Phone
Affiliation *
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Membership Type

Note we will need a minimum of 15 paid members at the AGM to have a quorum.  

Membership fees shoud be paid on line or in person before the event
- e-transfer (etransfer@inclusionadvocacy.ca)  - Ensure to include "Membership" in the email
- Contact 506.857.8899 or contactus@inclusionadvocacy.ca if you plan to pay at the AGM
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If you have any questions or comments please let us know below *
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