SPC Community Membership Form

SPC Community Membership Form

Please fill out the information below and return along with payment to: Social Planning Council of Williams Lake & Area, 266 Oliver Street, Williams Lake, BC V2G 1M1 or drop of in person at: 266 Oliver Street (Community Futures office).
Organization
If applicable
Contact Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
$0 - $5 Youth or Subsidized$10 Community member i.e. contractor, retiree$50 Organization 20 people or less$100 Organization 21-50 people$250 Organization 50 people or moreDonation
Total enclosed*
YESNO
YESNO
Please verify that you are human*
Should be Empty: