Membership Fee: $2.00 (Adult/Student) Membership fees will be required after memberships are approved by the Board of Directors. All applicants listed in this application must reside in the same household. Fee Payment If you are unable to pay the fee, please check box here First Adult Name* First Last First Adult Email Second Adult Name First Last Second Adult Email Third Adult Name First Last (3rd adult = child aged 18 + residing in the household)Third Adult Email Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Landline(If not applicable, leave blank)CellphoneHow do you wish to receive member meeting notices? Mail Email Can we email you member event notices/newsletters?*YesNoBy submitting this form, you are stating that the submitted information is accurate to the best of your knowledge and that you will contact the Nogojiwanong Friendship Centre should any information change and if your contact information changes (includes home address, phone(s), email).CommentsThis field is for validation purposes and should be left unchanged.