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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.
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* Required
First Name:
*
Your answer
Last Name:
*
Your answer
Membership Type:
*
Individual Co-op Member ($500 refundable one time payment)
Individual Casual Driver ($10 monthly subscription - non-refundable)
Family Co-op Member, including additional family member ($750 refundable one time payment)
Additional Family Member ($250 refundable one time payment)
Corporate Member ($750 refundable one time payment)
Additional Corporate Driver
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:
*
E-transfer or PayPal
Cheque
Other:
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):
Facebook
Twitter
Bus advertisement
Friend/Word of Mouth
Radio
Poster
Magazine
Television
Postcard received in the mail
Other:
Clear selection
Co-op Member Referral (optional):
Your answer
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