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(250) 748-5899

Membership Application

Striving to promote inclusive communities where every persons’ rights and unique gifts are celebrated. Members provide feedback and great ideas for the direction of the Society.

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Thank you for your interest in becoming a member of Vital Society. Please take a moment to tell us about yourself and your interest in becoming part of the Society.

Name*
Address*
Do you have a family member who is served by Vital Society?*
Would you be interested in Serving on the Board of Directors?*
The Annual Membership fee is $5.00 per person.

I have also read the Society’s Mission, Vision, Values and Aims and Society Bylaws, and I am willing to commit to uphold, respect and abide by the Society’s code of ethics.

Checking this box means I have read all above mentioned documents.*

The personal information on this form will be kept confidential. It will be used for the following purposes:
- To process the membership transaction and to issue a tax receipt for donations, if applicable.
- To create voting lists for the Annual General Meeting.
- To send you newsletters, bulletins, occasional surveys and information about upcoming activities or special events. You can unsubscribe at any time.