SHPOA Information Request Form

Member's Name (required field) 会员姓名（请必填项）*

First NameLast Name

Email (required field) 电子邮件（请必填字段）*

example@example.com

2nd Member Name (Input this line if your partner wishes to be a member) 第二个会员姓名（如果您的伴侣或家人也希望成为会员，请输入此行）

First NameLast Name

Email 电子邮件（请必填字段）

example@example.com

Home Address (required field) 住址（请必须填）*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Phone Number 联系电话

Please enter a valid phone number.

How long have you been living in Shaughnessy? 你在Shaughnessy住了多久?

How did you find out about SHPOA ? 您是如何听说 SHPOA 的？

Friends 朋友Members 会员Someone on the Board 董事会成员Others 其他

Would you like to volunteer on the Board in the future? 您想将来在成为我们董事会成员吗？

Which payment method will you use to pay the $35 annual membership? 您将使用哪种付款方式支付 35 加幣的年度会员费？*

Credit Card 信用卡E-Transfer 电子转账Cheque 支票

Thank you for your membership registration, please click submit to complete your registration.

You have 3 options to pay the annual membership of $35:

By Credit Card - Please complete your credit card details below and submit this form to complete the payment. (This is the easiest and recommended payment method)
By E-Transfer - Please send payment to shpoabc@gmail.com
By Cheque - Write cheque payable to SHPOA and mail to: SHPOA, PO Box 38089, 968 West King Edward Ave, Vancouver, V5Z 4L9

We look forward to communicating with you soon!

非常感谢您的会员注册，请点击提交以完成您的注册。

您有 3 种选择来支付 35 加元的年度会员费：

选项一：信用卡 - 请填写以下信用卡信息，并提交此表格以完成付款。（这是最简单也是推荐的支付方式）。
选项 2：通过 shpoabc@gmail.com 进行电子转账
选项 3：支票抬头为 SHPOA，邮寄至：SHPOA, PO Box 38089, 968 West King Edward Ave, Vancouver, V5Z 4L9

我们期待尽快与您沟通！

Pay Membership via Credit Card

Annual MembershipEnter description

$35.00CAD

Total

$0.00CAD

Please complete the membership registration form 敬请填写会员登记表