Sechelt Village Community Association Membership Form
Mail to: c/o Box 184, Sechelt, BC, V0N3A0 (Or call 604-399-9123 and we will pick it up)
New: ___ Renewal: ___ Cash: ___ Chq: ___ Date ____________________ (Single $5 / Family $10)
Name(s) ________________________________________________________________________________
Street Address: _________________________________________________________________________
Mailing Address:________________________________________________________________________
Home Phone: ________________ Cell Phone: ________________
Email: __________________________________________________________________________________
# in Household: _____ Employed: ____ Retired: ____ Business Owner: ______________________
_____________________________________________________________________________________
All information provided is kept Confidential
We are here to serve you. What are your concerns? Attach more if necessary.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Mail to: c/o Box 184, Sechelt, BC, V0N3A0 (Or call 604-399-9123 and we will pick it up)
New: ___ Renewal: ___ Cash: ___ Chq: ___ Date ____________________ (Single $5 / Family $10)
Name(s) ________________________________________________________________________________
Street Address: _________________________________________________________________________
Mailing Address:________________________________________________________________________
Home Phone: ________________ Cell Phone: ________________
Email: __________________________________________________________________________________
# in Household: _____ Employed: ____ Retired: ____ Business Owner: ______________________
_____________________________________________________________________________________
All information provided is kept Confidential
We are here to serve you. What are your concerns? Attach more if necessary.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________