2026-2027 Membership Form

2026-2027 Membership

Membership term: Apr 1st to Mar 31st
Date

MonthDayYear
Date
Membership Name:
Contact Person:

First NameLast Name
Position within Organization (if applicable):
ie: Administrator, Owner, etc.
Sector (please choose one):
Address

Mailing Address/Box No.

Street Address

City/TownProvince

Postal Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Would you like your website listed on the Links Page on our Website?
If you stated yes to above question, please provide your web address:
www.myorganization.ca
Payment Type: Membership fee is $20 Annually
If you indicated Payment by Cheque, please indicate approximately what date the cheque will be issued/mailed.

MonthDayYear
Date
A receipt will only be issued upon request. Would you like to receive one? If yes, please check “Yes” and ensure your email address above is entered correctly.
EMAIL CONSENT: We value our connection with you and want to share emails, newsletters, event updates, and other information for community sport, culture, and recreation leaders. Canadian Anti-Spam Legislation requires your consent to contact you electronically. Please indicate below if you wish to receive emails from Rivers West District. **With your membership, joining our mailing list is highly recommended**
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