Membership Form

CANBC.org

Society of Citizens for Accessible Neighbourhoods (CAN) Membership Form
Full Name*
First Name Last Name
Address with
Postal Code:*
Phone Number*
- Area Code Phone Number
Email:*
Membership Fees:

$20 for 1 year I am unable to afford a full membership
I can't afford full fee but can afford:

We accept all those interested in becoming members; please let us know if you are low income or on disability and unable to afford the membership fee. We can waive the membership fee.

Please make cheques payable to: Society of Citizens for Accessible Neighbourhoods. Cheques should be mailed to: CAN, 7017 Werks Drive, Vancouver V5S 4M7.

Donate:
To donate write a cheque payable to Society of Citizens for Accessible Neighbourhoods or you can donate to CANBC.org through PayPal here.

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CANBC.org

Society of Citizens for Accessible Neighbourhoods (CAN) Membership Form