Membership Form
April 1st., 2018 to March 31st., 2019
* Required
First Name:
*
Your answer
Last Name:
*
Your answer
Age if less than 16 years old:
Your answer
Street Address:
*
Your answer
City:
*
Your answer
P.C. / Zip Code
*
Your answer
Province / State
*
Your answer
Country:
*
Choose
Canada
United States
Britian
Other
Phone Number:
*
Your answer
Email Address:
*
Your answer
Membership:
*
Renewal
New Member
Membership Type:
*
Individual - $20.
Family - $25.
Associated - $50.
Family Membership (Please List Names)(All family members must reside at the same residence).
Your answer
How will you be paying the Membership Fee?:
*
eTransfer
Cheque by mail
Give monies to Executive Memeber
Money Order by mail.
Submit
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