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 Member Name* First Last Email* Additional Family Member First Last Additional Member Email Additional Family Member First Last Additional Member Email Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code PhoneHow do you wish to receive member meeting notices? Mail Email Can we email you member event notices/newsletters?* Yes No CAPTCHABy 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).NameThis field is for validation purposes and should be left unchanged.