Annual Membership Form - E-transfer or Mail Payments
Join the DCA today! Please fill out the following form to pay via e-transfer or by mail.

Please etransfer $21 to dwca@platinum.ca or mail a cheque to DCA, BOX 111, DeWinton T0L0X0 (Please make cheques payable to DCA and include your name in the e-transfer message for cross reference) or you may drop your cheque off to Amanda Gotmy during office hours (see bottom of page) at 114 Macleod Trail E, De Winton, AB T0L 0X0 or call the office at 403-938-2525

If you prefer to pay by credit card you can call your number in to Amanda or fill out the Alternate Payment Method form


Sign in to Google to save your progress. Learn more
Email *
Membership Type  (includes GST)
Clear selection
First Name(s) *
Last Name *
# Children under 18yrs
Phone number *
Full Mailing Address (please include postal code) *
To help us plan for current events offered, please tell us if you or your family members are involved with or are likely to attend:
Please tell us if you have any suggestions for future activities or events.
By submitting this form you are agreeing to be added to our email list for community updates and messages. You can, of course, unsubscribe at any time *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.