Membership Form

Your Name*
First Last
Your Email Address*
Your Email Address will remain confidential and will not be shared with any third parties.
Your Address*
Street Address Address Line 2 Town / District Province Postal Code
Your Phone Number*
Annual Membership
Price: $ 15.00 CAD
Would you like to add additional members?
- Yes
- No
Additional Members*
Price: $ 10.00 CAD Quantity:
Additional Member Names*
How would you like to pay?*
- Cheque
- e-Transfer
Total
$ 0.00 CAD
Name
This field is for validation purposes and should be left unchanged.

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