MSBCA - Membership Registration Form

Membership Registration/Renewal Form
What would you like to do?*
Member's Details:
Member's Name:*

PrefixFirst NameLast Name
Spouse's Name (if Family Plan):

PrefixFirst NameLast Name
Member's Country of Origin:
If Other please specify:
Membership Start Date
Children's Name(s) (under 18 only, separate multiple names with commas)
Member's Contact Information:
Member's Email:*
example@example.com
Spouse's Email:
example@example.com
Member's Mobile Number:
Please enter a valid phone number.
Spouse's Mobile Number:
Please enter a valid phone number.
Home Number:
Please enter a valid phone number.
Best Contact Method:
Address*
Select your Membership Type:*

General/Single Membership - (Annual Fee) $25.00General/Single Lifetime Membership - (One time fee) $250.00Family Plan (Couple/includes children up to 18) - (Annual Fee) $30.00Family Plan Lifetime (Couple/includes children up to 18) - (One time fee) $300.00
How did you hear about us?
Member Name:
Do you want to volunteer your time/skills/services?
What skills or services can you contribute?
After registering online, kindly E-transfer the membership fee to msbcageneral@gmail.com

or

send us your membership cheque addressed to MSBCA

to Unit 238-2680 Shell Road, Richmond, British Columbia V6X 4C9, Canada.
Should be Empty: