SSCA Membership Dues Payment

This Membership payment is for*

Membership renewal for selfGift membership for another existing member

For new memberships please go to our New Membership page - here

Gift Membership existing Member Full Name*

First NameMiddle InitialLast Name

Gift Membership existing Member E-mail address*

Your Full Name*

First NameMiddle InitialLast Name

Your E-mail*

Membership Information

Membership is at an individual level and they have one vote at the Annual General Meeting and Special Meetings.

An Associate Member must be Twenty-nine (29) years of age or under on December 31st of the dues year and must be a relative of a Full Member. An Associate Member is NOT eligible to vote at the Annual General Meeting.

A Dual Association Membership id for Individuals that are members of another GBA recognized association and have already paid their GBA dues ($50) with their other Association.

Select the type of Membership

Other GBA Association Name*

Community Centre Donation

The Community Centre Fund is to provide capital for improvements to the Association’s infrastructure located on its property at Frying Pan Island. This includes the periodic rehabilitation, renewal and/or replacement of docks, decks, buildings and other infrastructure. These donations are separate from the New Community Centre Campaign funds.

Contingency Fund Donation

The Contingency Fund consists of voluntary contributions from members. It is used for legal, political and other non-recurring expenses.

Georgian Bay Association Donation

All GBA Donations are sent directly to the GBA

Total Amount

I will pay by:*

Interac e-transferCredit CardCheque

eTransfer Instructions

To send an eTransfer, follow these instructions on screen:

Login to your online or mobile banking app and select the account.
Add sanssoucipayments@gmail.com as the recipient’s email.
In the Message field:
- Enter your First and Last name.
- Enter the Renewal Reference # from the confirmation email you will receive after pressing SUBMIT below.
No need to enter a security question and password as we have registered for Interac e-Transfer® Autodeposit

Note: These instructions along with the Renewal Reference #, will be in an email confirmation sent to you after you press SUBMIT below)

Cheque Payment NEW ADDRESS Instructions:

Payable to: SANS SOUCI AND COPPERHEAD ASSOCIATION
Mail to:

SSCA
P.O. Box 15005, (RPO HEATH YONGE)
Toronto, Ontario M4T 1M1

Note: These instructions along with the Renewal Reference # will be in an email confirmation sent to you after you press SUBMIT below)

CADTotal to be billed

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country