Membership Registration Form

Vancouver Island Llama & Alpaca Club (VILAC) Membership Application

Complete the form below to become a new member. This information is for VILAC admin use only and will not be shared without your permission (see below).
Yes, you can share my contact information with my fellow VILAC membersNo, I don't want my contact information shared with my fellow VILAC members
Farm Name*
Primary Contact*

First NameLast Name
Secondary Contact

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Farm Website
Farm / Family $0Youth / 4H $0
VILAC Membership

Your membership becomes effective immediately. Membership will continue indefinitely until you notify the club that you wish to cancel.
Should be Empty:

Vancouver Island Llama & Alpaca Club (VILAC) Membership Application