Your membership is not complete until you have both submitted this form AND sent your payment.
Payment can be made either by cheque or e-transfer.
To pay by cheque, contact firstname.lastname@example.org for details.
To pay by e-transfer, send your fee to email@example.com and be sure to include the word "membership" AND your name in the note text of the transfer.
If you have payment in another form (i.e., gift certificate), please complete the text area below: