WRMA Membership Form
WRMA Forms | Please complete information on the form & submit.
*Printed forms are available for download.
Email address *
Profile
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Please write in the format XXX-YYY
Your answer
Telephone *
Please enter in the format: XXX-XXX-XXXX
Your answer
Membership Fees
ADULT (19 & over) | $20.00 per year

*Annual Membership is renewable on a calendar year basis (January to December).
**Children (18 & under) are included in the Membership.

Membership Type
Please indicate
*
Next
Never submit passwords through Google Forms.
This form was created inside of The White Rock Muslim Association. Report Abuse - Terms of Service