Membership Application

Membership Form *

New member

Renewal

I enclose for an annual tax deductible membership the following: *

(please check all that apply)

Total Amount *

(add the membership $ amount calculated above)

I will pay by:

PayPal

Cheque (mailed to the address at the bottom of this form)

EMT to info@mcnabsisland.ca

Other

If other, please explain:

Name (first/last)

Name for Tax Receipt (if different from above)

Street Address / Apartment Number

City / Town

Province / Country

Postal Code

E-mail

Phone Number

If other, please explain

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