SCC Membership Application Form
Become a co-operative member as an individual, a family or a corporation, or as a casual driver —
we have a plan to suit your needs. This application form will take you about 15 to 30 minutes to fill out.
First Name: *
Your answer
Last Name: *
Your answer
Membership Type: *
If Additional Family Member or Corporate Driver, please provide the Family or Corporation name and member number:
Your answer
I will pay the membership application fee by: *
Date of Birth: *
MM
/
DD
/
YYYY
Driver's License Number: *
Your answer
Driver's License Expiry Date: *
MM
/
DD
/
YYYY
Phone Number (Home): *
Your answer
Phone Number (Cell):
Your answer
Phone Number (Work):
Your answer
Street Address: *
Your answer
City: *
Your answer
Postal Code: *
Your answer
Email Address: *
Your answer
How did you hear about Saskatoon CarShare Co-op (optional):
Co-op Member Referral (optional):
Your answer
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