ONLINE MEMBERSHIP APPLICATION FORM

Please complete our membership application form below. To print this application and submit by postal mail or fax click here for a printable PDF version.

Please complete the form.
First Name:
Last Name:

Permanent Address
 
Address:
Address2:
City:
Province:
  
Postal Code:
  
 
Telephone:
Fax:
Email:

Seasonal Address
 
Address:
Address2:
Town:
Postal Code:
Telephone:
Email:
(if different)
Please mail my tax receipt to: Permanent Seasonal

Type of Support: Individual Membership $25 Family $50
 Supporter $150 Sponsor $500 Partner $1000+
Other Amount

Annual memberships are renewable January 1 each year.

We will contact you after submission of this form for your VISA/MasterCard information.

To print this application and submit by postal mail or fax click here for printable PDF version.
Applications may be faxed to 1-705-645-7888 or mailed to

9 Taylor Road
Box 482
Bracebridge, ON P1L 1T8

Note: Annual memberships are renewable January 1 each year. Members joining January to October are required to pay full membership. Members joining November to December will be credited for the next calendar year.