OPIRG Brock online OPT-IN form
Hello and thank you for your interest in becoming a member of OPIRG Brock!

If you are looking to OPT-IN to OPIRG Brock and become a member, please fill in this form. Following the completion of this form, your membership will be sent to our Board of Directors, and you will be contacted to pay the membership fee. By holding an OPIRG Brock membership, you are able to run or apply for the OPIRG Brock Board of Directors and vote in the Annual General Meeting on April.

To maintain a membership-in-good-standing, you must agree to and uphold the OPIRG Brock Safer Space Policy. (https://docs.wixstatic.com/ugd/8b3aa0_83515e64377e460a95e8f159089ffc02.pdf), as well as other relevant OPIRG Brock policies.

Upon membership approval and paying this fee will result in a membership to OPIRG Brock until December 31, 2020. There are a range of options for membership fees ($0- $10, sliding scale). If paying the membership fee creates a financial barrier for you from being a member of OPIRG Brock, please choose the option of a 'Community Support Membership'.

For paying a membership fee, you have multiple options:
- Pay in cash to an OPIRG Brock staff or Board member
- One-time payment by e-transferring amount indicated to our Paypal account
- Sign up to become a regular Patron on our Patreon account ($5 - membership come to the Board of Directors for review after 2 months of payments, $10+ membership is considered immediately). Each Patreon level results in perks and a level of buy in focused on keeping OPIRG Brock alive. To sign up this way, please visit patreon.com/opirgbrock .

**If you work with an organization that would like a Community Organization Membership, please indicate that on the form below and we will send you a follow up email. Even if you have not cleared this with the other members of your organization, if you are at all interested, please click yes and that will allow us to send you more details to take back to your group.

In the meantime, if you have any questions about online OPT-IN's or OPIRG Brock in general, please feel free to email info@opirgbrock.com.
Contact Information
Name *
Your answer
Pronoun(s)
Your answer
Student or Community Member? *
Email *
Your answer
Mailing Address *
Your answer
Phone number (not required)
Your answer
Were you a member of OPIRG Brock in 2018-2019?
If you were not previously a member, please provide a brief background experience with OPIRG Brock, Niagara, or any other cultural, activist, and/or organizing communities.
Your answer
Membership Agreement
Please check one box
By signing below, I indicate that to my knowledge I am in good standing with OPIRG Brock and wish to join its membership. I understand that my application may be rejected or my membership may be revoked at any time if my actions conflict with the mandate, Safe Space Policy or any other policies of OPIRG Brock, jeopardize the reputation or future of OPIRG Brock, or otherwise causes harm to the community. At this time my membership fee would be refunded in person or by mail to the address provided. NOTE: Any person who is a member of another Chapter of the Ontario Research group is not eligible for membership in the Brock chapter. *
Type of Membership
Valid until December 31, 2019. At this time you will be contacted about updating your membership. The only requirement for this section is that you choose at least one of the Individual Membership Options (all other choices are optional).
Check all that apply.
Total Fees (Sum of memberships selected above
Your answer
Method of paying membership fee.
Are you part of an organization that would like an Community Organization Membership?
If yes, please list the organization and the email you would like to be contacted.
Your answer
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