CBA membership signup
Complete this form, along with a payment method (cheque or e-transfer) to become a CBA member and experience the benefits of membership!
Additional names at the same address (Last, First)
1 years ($10)
2 years ($20)
3 years ($30)
5 years ($50)
Payment via (for details see
, use password "membership")
Cheque (Mail to PO Box 41003, 5166 Cordova Bay Road, Victoria V8Y 0A3. OR dropoff at IDA pharmacy)
Credit card processed securely by Paypal (link will be provided after you submit this form)
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