FCBC Membership Application Form

FCBC Membership Application Form
Join a growing community dedicated to supporting and advocating for family caregivers across British Columbia. As a member, you’re helping ensure caregivers receive the recognition, resources, and support they need—and you’ll enjoy exclusive membership benefits in return.
Please select your preferred membership option*
Individual Membership Benefits:
- A special Welcome Package featuring branded items and wellness inspired-gifts.
- Annual invitation and voting rights to our AGM
- Acknowledgment of your support to the Family Caregivers of BC
Non-Profit Membership Benefits:
- A special Welcome Package featuring branded items and wellness inspired-gifts.
- Acknowledgment of your support to the Family Caregivers of BC
Corporate Membership Benefits:
- A special Welcome Package featuring branded items and wellness inspired-gifts.
- Acknowledgment of your support to the Family Caregivers of BC
Contact information
Name*
Agency or Business Name*
Organization's Name*
E-mail*
Phone Number*
Street Address*
City*
Province*
Postal Code*
Demographic information

The following demographic information is needed to report back to our funders.
What BC Health Authority do you live in?*
Are you a Caregiver?*

YesNo
Please select your age range*
Would you like to receive our quarterly newsletter and monthly digital e-news on relevant Caregiver topics?*

Yes, send me the quarterly paper newsletter onlyYes, email me the quarterly digital newsletter and monthly e-newsYes, mail and email both paper and digital newsletter and monthly e-newsNo
Payment information
Please select your preferred payment method*

E-transferCredit Card by PhoneChequeIn Person
E-transfer to info@familycaregiversbc.ca; note “FCBC membership” in the comments.
MasterCard, VISA or American Express by telephone: Call the FCBC office at 250-384-0408 Ext. #2
Make cheques payable to the Family Caregivers Society of BC

Payment by cheque can be mailed to:

Family Caregivers Society of BC

#6-3318 Oak Street

Victoria, BC V8X 1R1
Payment can be made by cash or cheque at the FCBC office at #6 – 3318 Oak Street, Victoria BC.
Should be Empty:

FCBC Membership Application Form

Contact information

Demographic information

Payment information