Online Membership Form

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Please fill in the membership form below

     I am a new member          I am renewing my membership      This is a gift membership **
First Name: ** Email Address: **
Last Name: ** Phone #: **
Address: ** Apartment/Suite:
City: ** Please use this space to leave a note with your donation or membership.
Province: **
Country: **
Postal Code: **
Is this membership for an affiliate membership? If so, please complete the optional entries below:
Affiliate Name: Website:
Facebook: Twitter:
Membership Type: Single Member $ 20.00
Student Member $ 15.00
Family Member $ 25.00
Affiliate Member $ 30.00
Sustaining Member $ 50.00
Patron $ 100.00
Foreign $ 20.00
Optional Donation:I would like to make a donation along with my membership. Please add my donation to my membership -- optional Dollars Only

Credit Card Type: **        Visa Mastercard
Name On Card: **
Card Number ** (No Spaces)
Expiry Month     Year **
CVV Security Number **

** denotes a required field

Donations and memberships can also be mailed to the association. Please see our Contact Page for address and details. Please include your address and contact information.